Active NPI
Mary Fekete
- Nurse Practitioner
- Burbank, CA
National Provider Identifier
1861863631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 10976
- Practice address
- 501 S Buena Vista St
Burbank, CA 91505-4809 - Phone
- (818) 847-4835
- NPI assigned
- Oct 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 10976 | CA | |
| Nurse Practitioner | 363L00000X | 10976 | CA | Primary |
Addresses
Primary practice location
501 S Buena Vista St
Burbank, CA 91505-4809
Mailing address
4408 Laurelgrove Ave
Studio City, CA 91604-1222
Phone (818) 762-9174
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10976 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445212800000",
"number": "1861863631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4408 LAURELGROVE AVE",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916041222",
"telephone_number": "818-762-9174",
"fax_number": "818-762-9174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S BUENA VISTA ST",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054809",
"telephone_number": "818-847-4835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEKETE",
"first_name": "MARY",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-19",
"last_updated": "2015-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "CA",
"license": "10976",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "10976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.