Individual provider Active NPI

Cindy Fessier, RN, BSN

  • Registered Nurse
  • McMinnville, OR
National Provider Identifier
1871877910
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
092006291 Issued in OR
Practice address
412 NE Ford St
McMinnville, OR 97128-4608
Phone
(503) 434-7525
Fax
(503) 472-9731
NPI assigned
Oct 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 092006291 OR Primary

Addresses

Primary practice location

412 NE Ford St
McMinnville, OR 97128-4608

Mailing address

2445 Timothy Dr NW
Salem, OR 97304-1033
Phone (503) 434-7424

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
092006291ORMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1871877910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 TIMOTHY DR NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973041033",
            "telephone_number": "503-434-7424",
            "fax_number": "503-472-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 NE FORD ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284608",
            "telephone_number": "503-434-7525",
            "fax_number": "503-472-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FESSIER",
        "first_name": "CINDY",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "092006291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.