Active NPI
Amanda B Fisher, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Fredericksburg, VA
National Provider Identifier
1013467307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024174059
- Practice address
- 600 Jackson St
Fredericksburg, VA 22401-5719 - Phone
- (540) 373-3223
- Fax
- (540) 371-3753
- NPI assigned
- Oct 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024174059 | VA | Primary |
Addresses
Primary practice location
600 Jackson St
Fredericksburg, VA 22401-5719
Mailing address
600 Jackson St
Fredericksburg, VA 22401-5719
Phone (540) 373-3223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1013467307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 JACKSON ST",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224015719",
"telephone_number": "540-373-3223",
"fax_number": "540-371-3753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 JACKSON ST",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224015719",
"telephone_number": "540-373-3223",
"fax_number": "540-371-3753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "AMANDA",
"middle_name": "B",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-11",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024174059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.