MS. THERESA FEDAK FNP-BC
NPI 1205836848
Nurse Practitioner - Family in Boulder, CO

Q: What is Theresa Fedak's NPI number?

The NPI number for Theresa Fedak is 1205836848. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Q: What is Theresa Fedak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Fedak was last updated on January 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 26, 2005

3145 20TH ST, BOULDER, CO 80304(303) 447-8189 Get Directions Write a Review

NPPES record last updated: January 6, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Theresa Fedak Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. THERESA FEDAK FNP-BC (NPI 1205836848) is an individual family provider in Boulder, Colorado, licensed in Colorado (86240) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1205836848

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. THERESA FEDAKCredential: FNP-BC

Location Address3145 20TH STBoulder, CO 80304-2700

Mailing Address3145 20th StBoulder, CO 80304-2700 · (303) 447-8189

Phone(303) 447-8189

Sole ProprietorYes

Enumeration DateJuly 26, 2005

Last NPPES UpdateJanuary 6, 2016

✔ NPI 1205836848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CO · 86240

3145 20TH ST, Boulder, CO 80304

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Fedak's NPI number?

The NPI number for Theresa Fedak is 1205836848. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Theresa Fedak located?

Theresa Fedak practices at 3145 20th St, Boulder, CO 80304. The listed phone number is (303) 447-8189.

What is Theresa Fedak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Theresa Fedak was last updated on January 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.