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LISA M. FEDDERKE MIDWIFE NPI 1134530967


NPI Information

NPI: 1134530967
Provider Name: LISA M. FEDDERKE, MIDWIFE
Classification: Advanced Practice Midwife - 367A00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
11123 PARKVIEW PLAZA DR
FORT WAYNE, IN
ZIP 46845
Phone: (260) 425-6650
Get Directions

Lisa M. Fedderke, MIDWIFE is an advanced practice midwife in Fort Wayne, IN. The provider is midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). Lisa M. Fedderke, MIDWIFE NPI is 1134530967. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11123 PARKVIEW PLAZA DR
FORT WAYNE, IN
ZIP 46845-707
Phone: (260) 425-6650
Fax: (260) 425-6649

The NPI 1134530967 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/14/2014 and was last updated on 6/25/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1367A00000XAdvanced Practice Midwife09000298INDIANAYes
2367A00000XAdvanced Practice Midwife15865NMOHIONo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.