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Active NPI 1396791760 Individual Practitioner Female Practitioner

Judith A Fedder , NNP

Nurse Practitioner - Neonatal • Pinehurst, NC

Professional Overview & Biography Verified Profile Summary

Judith Fedder, NNP is a registered healthcare professional specializing in Nurse Practitioner - Neonatal in Pinehurst, NC. Practice services are available at 155 MEMORIAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

155 Memorial Dr

Pinehurst, NC 283748710

Telephone 9107152085
Fax 9107152137
Associated Practice Facility / Clinic
🏢 Pinehurst Pathology Center Inc Facility NPI 1548224009

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Neonatal in Pinehurst, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Pinehurst, NC (174 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Neonatal Primary Specialty

NUCC Taxonomy Code: 363LN0000X

State License NC 121064

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7003672 (NC)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Maryellen Lane , NNP

Nurse Practitioner - Neonatal

NPI 1578502134
Corinne Cochran , NNP

Nurse Practitioner - Neonatal

NPI 1942256417
Dr. Nicholas Lynn , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1962458356

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active May 14, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 14, 2008

Registered at 155 MEMORIAL DR, PINEHURST, NC 283748710 (Tel: 9107152085)

📍
Updated Business Mailing Address May 14, 2008

Registered at PO BOX 3000, PINEHURST, NC 283743000 (Tel: 9107152085)

👤
Provider Name / Credentials Updated May 14, 2008

Recorded as JUDITH FEDDER, NNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2008

Nurse Practitioner (License #121064 in NC)

🟢
Initial NPI Registration & Enumeration May 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396791760
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 26, 2006
Last Update: May 14, 2008
Sole Proprietor: No
Update or Correct Profile

Mailing Address

Po Box 3000

Pinehurst, NC 283743000

Phone: 9107152085

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.