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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225500000X | Specialist/Technologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | HEALTH PROFESSIONS BUREAU | 36000009 | 01 |
Street Address |
115 WOODLAND CT |
City | MISHAWAKA |
State | IN |
Zip Code | 46545-3348 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649824103 | Senior Helpers | In Home Supportive Care | 230 Catalpa Drive Suite B, Mishawaka, IN 46545 | 2019-08-01 |
1093272114 | Candice Marie Greathouse | Physical Therapy Assistant | 3630 Hickory Road, Mishawaka, IN 46545 | 2019-02-25 |
1639662596 | Mishawaka Rcf Lp | Assisted Living Facility | 3630 Hickory Rd, Mishawaka, IN 46545 | 2018-06-14 |
1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
1699203612 | Paridhie Vasudevan | Dentist | 6502 Grape Rd Ste 882, Mishawaka, IN 46545 | 2017-06-03 |
1780134650 | Ossip Optometry, PC | Optometrist | 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 | 2016-10-04 |
1457730038 | Melissa Anne Douthit | Nurse Practitioner | 3665 Park Pl W Ste 300, Mishawaka, IN 46545 | 2015-05-28 |
1558759654 | Spine and Joint Associates of Plymouth, Inc | Chiropractor | 229 Red Coach, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
1609264795 | Spine and Joint Associates of Mishawaka, Inc | Chiropractor | 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
1508260795 | Maribel Smith | Counselor | 2989 Heritage Ct, Mishawaka, IN 46545 | 2014-10-16 |
Find all providers in zip 46545 |
Taxonomy Code | 225500000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
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 |
Please comment or provide details below to improve the information on MS. CATHERINE MARIE FEDDER.
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.