HEATHER MARIE FEDAK (NPI# 1962871137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962871137 |
| Entity Type | Individual |
| Full Name | HEATHER MARIE FEDAK |
| Credential | CPNP-PC |
| Practice Address |
10600 Spotsylvania Ave Fredericksburg VA 22408-2637 |
| Mailing Address |
8365 Greensboro Dr Ste A Mc Lean VA 22102-3530 |
| Practice Telephone | 5406049500 |
| Mailing Telephone | 5406049500 |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2016-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
0024172930 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10600 SPOTSYLVANIA AVE |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22408-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518939438 | Julie E O'brien | Pediatrics | 10600 Spotsylvania Ave, Fredericksburg, VA 22408-2637 | 2006-02-03 |
| 1508333105 | Lindsay Kathleen Hession Grainger | Nurse Practitioner | 10600 Spotsylvania Ave, Fredericksburg, VA 22408-2637 | 2018-11-01 |
| 1518365881 | Jennifer Eaton | Nurse Practitioner | 10600 Spotsylvania Ave, Fredericksburg, VA 22408-2637 | 2014-12-18 |
| 1295162410 | Jennifer Anne Bodin | Nurse Practitioner | 10600 Spotsylvania Ave, Fredericksburg, VA 22408-2637 | 2013-10-02 |
| 1285701532 | Linda M Purcell | Pediatrics | 10600 Spotsylvania Ave, Fredericksburg, VA 22408-2637 | 2006-11-30 |
| 1821165077 | Jiyeon Kim Becker | Pediatrics | 10600 Spotsylvania Ave, Fredericksburg, VA 22408-2637 | 2006-11-30 |
| 1467480392 | Cynthia Byers | Nurse Practitioner | 10600 Spotsylvania Ave, Fredericksburg, VA 22408-2637 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285108340 | Embrace Foster Care, LLC | Foster Care Agency | 10705 Spotsylvania Avenue, Suite 101, Fredricksberg, VA 22408 | 2019-01-11 |
| 1730698689 | Raza N Syed | Driver | 12804 Willow Point Drive, Fredericksburg, VA 22408 | 2017-09-22 |
| 1184149122 | Eve Hope Pendletom | Driver | 2717 Francis Ct, Fredericksbrg, VA 22408 | 2017-08-10 |
| 1700316304 | Transcendent Truth Inc | Counselor | 2601 Wheatland Wood Drive, Fredericksburg, VA 22408 | 2017-06-15 |
| 1487047361 | Michele Neverdon | Counselor | 150 Olde Greenwich Dr Ste 211, Fredericksburg, VA 22408 | 2015-03-16 |
| 1073903688 | Shelby Jean Galloway | Radiology | 12709 Willow Pt. Dr., Fredericksburg, VA 22408 | 2015-02-03 |
| 1417355066 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 4543 Empire Ct, Fredericksburg, VA 22408 | 2014-12-15 |
| 1154726123 | Md Wellness and Health Center | Internal Medicine | 10518 Spotsylvania Ave, Suite 102, Fredericksburg, VA 22408 | 2014-11-03 |
| 1023358595 | Joyce Catherine Corbin Moya | Social Worker | 19003 Main Street, Fredericksburg, VA 22408 | 2013-02-21 |
| 1992063234 | Gustavo A Elias | Radiology | 10401 Spotsylvania Ave Ste 203, Fredericksburg, VA 22408 | 2012-04-24 |
| Find all providers in zip 22408 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629199815 | Kelly Schrock Osborne | Nurse Practitioner | 2632 Salem Church Rd, Fredericksburg, VA 22407-6484 | 2007-04-03 |
| 1407903693 | Mark Allen Clark | Nurse Practitioner | 111 Park Hill Dr # A, Fredericksburg, VA 22401-3357 | 2007-01-03 |
| 1629688874 | Amanda Eve Pringle | Nurse Practitioner | 4550 Empire Ct, Fredericksburg, VA 22408-1939 | 2020-08-03 |
| 1326699307 | Ashley Mangus | Nurse Practitioner | 4532 Plank Rd, Fredericksburg, VA 22407-0139 | 2019-09-22 |
| 1033676150 | Ruth Christine Penny | Nurse Practitioner | 2632 Salem Church Rd, Fredericksburg, VA 22407-6484 | 2019-02-25 |
| 1518365881 | Jennifer Eaton | Nurse Practitioner | 10600 Spotsylvania Ave, Fredericksburg, VA 22408-2637 | 2014-12-18 |
| 1962844969 | Gabrielle Irene Le Sage | Nurse Practitioner | 4550 Empire Ct, Fredericksburg, VA 22408-1939 | 2013-07-19 |
| 1679847073 | Kathleen Beckman | Nurse Practitioner | 4550 Empire Ct, Fredericksburg, VA 22408-1939 | 2012-03-02 |
| 1114149648 | Jeanne M Burns | Nurse Practitioner | 20 Plantation Dr, Suite 105, Fredericksburg, VA 22406-7400 | 2007-05-03 |
| 1033233606 | Laura Powell | Nurse Practitioner | 331 Park Hill Dr, Fredericksburg, VA 22401-3375 | 2007-03-19 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22408 |
Please comment or provide details below to improve the information on HEATHER MARIE FEDAK.
| 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.