Active NPI
Erica Jeanette Fedewa, FNP
- Family Nurse Practitioner
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN-0994629-NP
- Practice address
- 3604 Galley Rd
Colorado Springs, CO 80909-4302 - Phone
- (719) 602-3394
- Fax
- (719) 602-3397
- NPI assigned
- Dec 11, 2019
- Last updated
- Jun 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN-0994629-NP | CO | Primary |
Addresses
Primary practice location
3604 Galley Rd
Colorado Springs, CO 80909-4302
Mailing address
3604 Galley Rd
Colorado Springs, CO 80909-4302
Phone (719) 602-3394
Other practice location 1
5134 N Nevada Ave Ste 100
Colorado Springs, CO 80918-8699
Phone (719) 598-5698
Other practice location 2
1021 Matlock Rd
Mansfield, TX 76063-3443
Phone (817) 225-4591
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN-0994629-NP | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aleracare of Colorado, LLC | Current | Accepting new patients | |
| Aleracare of Colorado, LLC | Past | Accepting new patients | |
| Aleracare of Colorado, LLC | Past | Accepting new patients | |
| Aleracare of Colorado, LLC | Past | Accepting new patients |
Locations
4045 E Bell Rd
Ste 157
Phoenix, AZ 85032
Phone (602) 404-0015
5350 E High St
Ste 300
Phoenix, AZ 85054
Phone (480) 716-5820
1550 S Potomac St
Ste 145
Aurora, CO 80012
Phone (480) 716-5820
2910 Beacon St
Ste 200
Colorado Springs, CO 80907
Phone (888) 238-9523
750 W Hampden Ave
Ste 285
Englewood, CO 80110
Phone (888) 238-9523
1303 Fortino Blvd
Ste C
Pueblo, CO 81008
Phone (719) 582-1010
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Pueblo, CO
- NPI 1033713805
-
- Multi-Specialty Clinic/Center
- Pueblo, CO
- NPI 1093409716
-
- Multi-Specialty Clinic/Center
- Englewood, CO
- NPI 1285228916
-
- Multi-Specialty Clinic/Center
- Colorado Springs, CO
- NPI 1801669353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1851939755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3604 GALLEY RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809094302",
"telephone_number": "719-602-3394",
"fax_number": "719-602-3397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3604 GALLEY RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809094302",
"telephone_number": "719-602-3394",
"fax_number": "719-602-3397"
}
],
"practiceLocations": [
{
"address_1": "5134 N Nevada Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809188699",
"country_code": "US",
"telephone_number": "719-598-5698",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1021 Matlock Rd",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "TX",
"postal_code": "760633443",
"country_code": "US",
"telephone_number": "817-225-4591",
"fax_number": "817-225-4594",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEDEWA",
"first_name": "ERICA",
"middle_name": "JEANETTE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-11",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN-0994629-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.