Collette Marie Fearneyhough, PNP
Nurse Practitioner, Pediatrics in Sacramento, CA. Individual provider (NPI-1).
NPI number1477516763
StatusActive
Last updated in NPPESJul 24, 2015
Details
- NPI
- 1477516763
- Entity type
- Individual (NPI-1)
- Name
- Collette Marie Fearneyhough
- Credential
- PNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 8, 2006
- Last updated
- Jul 24, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | NP8810 | CA | Yes |
Practice location
1625 Stockton Blvd#106
Sacramento, CA 95816
Phone 916-262-9002 · Fax 916-269-9012
Mailing address
10470 Old Placerville RdSuite 100
Sacramento, CA 95827-2539
Phone 800-470-0071
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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