Mary R Fiedler, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

NP397A Issued in ID

Practice address

1020 Michigan St
Sandpoint, ID 83864-1788

Phone

(208) 263-5159

Fax

(208) 263-6963

NPI assigned

Mar 7, 2006

Last updated

Mar 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Bonner Partners in Care Clinic

  • Community Health Clinic/Center
  • Sandpoint, ID
  • NPI 1063643690
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1871560995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 N ATLAS RD",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358332",
            "telephone_number": "208-415-5270",
            "fax_number": "208-415-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 MICHIGAN ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641788",
            "telephone_number": "208-263-5159",
            "fax_number": "208-263-6963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7402 Caribou St",
            "address_purpose": "LOCATION",
            "city": "Bonners Ferry",
            "state": "ID",
            "postal_code": "838057512",
            "country_code": "US",
            "telephone_number": "208-267-5558",
            "fax_number": "208-267-3795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIEDLER",
        "first_name": "MARY",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "ID",
            "license": "NP397A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Center for Occupational Therapy (All About Kids OT)
• Far North Pediatrics
• Deborah K Faude, MA CCC
• Pearl Dawn Faux, LMT
• Marina Ferrier, PHD, LCPC, LMFT
• Colleen Ruth Field, ARNP
• Emma Fields, LMT
• Erika Finley
• Kenneth Garrett Fischer, DPT
• Monica Jo Fisher

• Women's Health Nurse Practitioner in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Women's Health Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.