MS. HEIDI JAYE FEDOR (NPI# 1386767200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386767200 |
| Entity Type | Individual |
| Full Name | MS. HEIDI JAYE FEDOR |
| Credential | LPC, LMFT |
| Practice Address |
350 Broadway St Suite 205 Boulder CO 80305-3343 |
| Mailing Address |
2978 Thunder Lake Cir Lafayette CO 80026-9446 |
| Practice Telephone | 3034945226 |
| Mailing Telephone | 3035796673 |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2017-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
1931 | CO | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 460 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538669114 | Heidi M Fedor | Specialist/Technologist | 1710 Lafayette Rd, Crawfordsville, IN 47933-1033 | 2018-02-20 |
| Street Address |
350 BROADWAY ST SUITE 205 |
| City | BOULDER |
| State | CO |
| Zip Code | 80305-3343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730173519 | Robert Alan Jelinek | Podiatrist | 350 Broadway St, #208, Boulder, CO 80305-3343 | 2005-09-07 |
| 1023375664 | Karin Dejong Vanbaak | Family Medicine | 350 Broadway St, #130, Boulder, CO 80305-3343 | 2012-04-20 |
| 1871884767 | Eve C Greenberg | Counselor | 350 Broadway St, Boulder, CO 80305-3343 | 2011-04-26 |
| 1922140219 | Gordon N Gates | Dentist | 350 Broadway St, Suite 201, Boulder, CO 80305-3338 | 2007-02-13 |
| 1275697799 | Don P Marinelli | Psychologist | 350 Broadway St, Suite 205, Boulder, CO 80305-3343 | 2006-12-20 |
| 1700951159 | Lauren Roseann Goldsmith | Psychologist | 350 Broadway St, Ste 210, Boulder, CO 80305-3338 | 2006-11-21 |
| 1962511691 | Antoinette L. Erickson | Social Worker | 350 Broadway St, Suite 205, Boulder, CO 80305-3343 | 2006-08-29 |
| 1477661213 | Robert Bruce Hopper | Psychologist | 350 Broadway St, Suite 205, Boulder, CO 80305-3343 | 2006-08-29 |
| 1588770218 | Susan Nofziger | Social Worker | 350 Broadway St, Ste 205, Boulder, CO 80305-3338 | 2006-08-23 |
| 1659380996 | Jason James Atha | Dentist | 350 Broadway St, Suite 10, Boulder, CO 80305-3343 | 2006-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538698923 | Carian Mclean | Registered Nurse | 1013 Berea Dr, Boulder, CO 80305 | 2017-06-08 |
| 1548629439 | Kimberly Norquist | Dental Hygienist | 661 S. Broadway St, Boulder, CO 80305 | 2016-02-19 |
| 1871981266 | Kathleen Anne Stone | Registered Nurse | 3680 Silver Plume Lane, Boulder, CO 80305 | 2015-01-07 |
| 1104235779 | Joyce Larson | Marriage & Family Therapist | 1190 S Lashley Ln, Boulder, CO 80305 | 2014-08-07 |
| 1982035788 | Virginia Pleasants Vandenbergh | Counselor | 4760 Ludlow St, Boulder, CO 80305 | 2013-12-03 |
| 1790992550 | Jasjit Singh Gill | Pharmacist | The Apothecary Pharmacy - University of Colorado, 350 Broadway Ste. 50, Boulder, CO 80305 | 2007-05-17 |
| 1477768299 | Stephen W Laycock | Dentist | 4150 Darley Ave., Suite 7, Boulder, CO 80305 | 2007-05-14 |
| 1871614560 | Steven Leslie Buffer | Dentist | 385 Broadway St, Boulder, CO 80305 | 2007-04-02 |
| 1801927793 | Jeffrey Dann | Acupuncturist | 3400 Table Mesa Drive, Ste. 205, Boulder, CO 80305 | 2007-03-09 |
| 1235292145 | Pharmaca Integrative Pharmacy | Exclusive Provider Organization | 645 South Boulder, Boulder, CO 80305 | 2006-12-19 |
| Find all providers in zip 80305 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205466 | Sara Horn | Counselor | 4650 White Rock Cir Apt 12, Boulder, CO 80301-5373 | 2020-08-16 |
| 1669095618 | Allison Margaret Leddy Villarreal | Counselor | 737 29th St Ste 200f, Boulder, CO 80303-2474 | 2020-05-26 |
| 1265053961 | Positive Regard Psychotherapy Pllc | Counselor | 3102 Gamow Ln, Boulder, CO 80301-5465 | 2020-05-04 |
| 1154953776 | Willow Mae Arlenea | Counselor | 4500 19th St Lot 379, Boulder, CO 80304-0663 | 2020-02-11 |
| 1336779925 | Lisa Wallace | Counselor | 2769 Iris Ave Ste 107, Boulder, CO 80304-4405 | 2020-01-22 |
| 1952952764 | Lauren Bleu Northrup | Counselor | 170 Seminole Dr, Boulder, CO 80303-4227 | 2019-09-23 |
| 1750947289 | Shelly Froehlich | Counselor | 1637 28th St Ste 201, Boulder, CO 80301-1001 | 2019-05-09 |
| 1003470139 | Kim Ann Merrill | Counselor | 6658 Gunpark Dr Ste 201, Boulder, CO 80301-3375 | 2019-04-24 |
| 1477019222 | Elizabeth Ann Maher | Counselor | 4949 Broadway St Ste 201, Boulder, CO 80304-0578 | 2019-02-18 |
| 1124592225 | Stepheny Antrobus | Counselor | 100 Arapahoe Lane, Suite 12, Boulder, CO 80302 | 2019-01-11 |
| Find all providers in BOULDER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.