Individual provider Active NPI

Rebecca M Fisher, M.D.

  • Pediatrics Physician
  • Lincoln, RI
National Provider Identifier
1013199488
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD12762 Issued in RI
Practice address
6 Blackstone Valley PL Ste 500
Lincoln, RI 02865-1102
Phone
(401) 334-1200
Fax
(401) 334-1111
NPI assigned
Nov 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD12762 RI Primary

Addresses

Primary practice location

6 Blackstone Valley PL Ste 500
Lincoln, RI 02865-1102

Mailing address

6 Blackstone Valley PL Ste 500
Lincoln, RI 02865-1102
Phone (401) 334-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD12762RIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children First Pediatrics Inc Pediatrics CurrentSince Dec 15, 2019 Accepting new patients

Locations

6 Blackstone Valley Pl
Ste 500
Lincoln, RI 02865
Phone (401) 334-1200

Interoperability endpoints

  • Direct secure messaging: rfisher@direct.carene.org
  • Direct secure messaging: rfisher@wih.cernerdirect.carene.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABDGAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1013199488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL STE 500",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651102",
            "telephone_number": "401-334-1200",
            "fax_number": "401-334-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL STE 500",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651102",
            "telephone_number": "401-334-1200",
            "fax_number": "401-334-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "REBECCA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD12762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.