Individual provider Active NPI

Lila Merrily Fischer, C.P.M.

  • Midwife
  • West Tisbury, MA
National Provider Identifier
1013203322
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
10110005 Issued in TN
Practice address
200 Rd to Great Neck
West Tisbury, MA 02575-0106
Phone
(508) 939-0404
Fax
(508) 693-5685
NPI assigned
Jun 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 10110005 TN Primary

Addresses

Primary practice location

200 Rd to Great Neck
West Tisbury, MA 02575-0106

Mailing address

PO Box 106
West Tisbury, MA 02575-0106
Phone (508) 939-0404

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

State licenses

LicenseStateTypeSpecialty
10110005TNMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1013203322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 106",
            "city": "WEST TISBURY",
            "state": "MA",
            "postal_code": "025750106",
            "telephone_number": "508-939-0404",
            "fax_number": "508-693-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RD TO GREAT NECK",
            "city": "WEST TISBURY",
            "state": "MA",
            "postal_code": "025750106",
            "telephone_number": "508-939-0404",
            "fax_number": "508-693-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "LILA",
        "middle_name": "MERRILY",
        "name_prefix": "Miss",
        "credential": "C.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TN",
            "license": "10110005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Tisbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.