NPIMap

Organization Active NPI

M B Fletcher PLLC

  • Certified Registered Nurse Anesthetist
  • Fort Wayne, IN
National Provider Identifier
1992135446
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28206750A Issued in IN
Legal business name
M B FLETCHER PLLC
Practice address
7747 W Jefferson Blvd Ste B
Fort Wayne, IN 46804-4135
Phone
(260) 434-9104
NPI assigned
Nov 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Authorized official

Name
Mary Beth Fletcher, CRNA
Title
Owner
Phone
(574) 268-9640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 28206750A IN Primary

Addresses

Primary practice location

7747 W Jefferson Blvd Ste B
Fort Wayne, IN 46804-4135

Mailing address

PO Box 1296
Warsaw, IN 46581-1296
Phone (574) 268-9640

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1992135446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1296",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465811296",
            "telephone_number": "574-268-9640",
            "fax_number": "574-268-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7747 W JEFFERSON BLVD STE B",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044135",
            "telephone_number": "260-434-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M B FLETCHER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-20",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-268-9640",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28206750A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.