MS. CATHERINE MARIE FEDDER


Address: 115 Woodland Ct, Mishawaka, IN 46545-3348
Phone: 5745327554

MS. CATHERINE MARIE FEDDER (NPI# 1528033131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528033131
Entity Type Individual
Full Name MS. CATHERINE MARIE FEDDER
Credential ATC, MA, LATC
Practice Address 115 Woodland Ct
Mishawaka
IN 46545-3348
Practice Telephone 5745327554
Mailing Telephone 5745327554
Enumeration Date 2006-02-18
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225500000X Specialist/Technologist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN HEALTH PROFESSIONS BUREAU 36000009 01

Office Location

Street Address 115 WOODLAND CT
City MISHAWAKA
State IN
Zip Code 46545-3348

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Taxonomy Information

Taxonomy Code 225500000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist

Taxonomy Definition

General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063034965 Joslyn Burke Specialist/Technologist 1834 State Road 25 W, Lafayette, IN 47909-9272 2020-05-13
1578197562 Logan Flack Specialist/Technologist 7710 N County Road 400 E, Frankfort, IN 46041-7939 2020-02-27
1235609850 Krystal Melinda Ketchem Specialist/Technologist 786 Mccool Rd Suite 8, Valparaiso, IN 46385 2018-11-27
1447660279 Steven Edward Maschmeyer Specialist/Technologist 10291 N Meridian St Ste 170, Indianapolis, IN 46290-1000 2014-05-01
1780900472 Brainworx, LLC Specialist/Technologist 9767 Fall Creek Rd, Indianapolis, IN 46256-4713 2010-04-20
1720246572 Walter J Filipek Md Specialist/Technologist 707 N Michigan Street, # 318, South Bend, IN 46601-1070 2008-05-29
1134497308 Scott Mclaughlin Specialist/Technologist 53880 Carmichael Dr, South Bend, IN 46635 2011-12-02
1689982613 Theresa M Dickerson Specialist/Technologist 2625 N Meridian St, Indianapolis, IN 46208-7701 2010-09-24

Competitor

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City MISHAWAKA
Zip Code 46545

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Dataset Information

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.

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