Active NPI
Kathryn Lynn Fischer, MD, LLC
- Psychiatry Physician
- Eden Prairie, MN
National Provider Identifier
1043379571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 47326
- Legal business name
- KATHRYN LYNN FISCHER, MD, LLC
- Practice address
- 574 Prairie Center Dr
#135-292
Eden Prairie, MN 55344-7930 - Phone
- (612) 710-3671
- Fax
- (763) 295-4946
- NPI assigned
- Dec 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathryn Lynn Fischer, M.D.
- Title
- Sole Proprietor
- Phone
- (612) 710-3671
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 47326 | MN | Primary |
Addresses
Primary practice location
574 Prairie Center Dr
#135-292
Eden Prairie, MN 55344-7930
Mailing address
574 Prairie Center Dr
#135-292
Eden Prairie, MN 55344-7930
Phone (612) 710-3671
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043379571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "574 PRAIRIE CENTER DR",
"address_2": "#135-292",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553447930",
"telephone_number": "612-710-3671",
"fax_number": "763-295-4946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "574 PRAIRIE CENTER DR",
"address_2": "#135-292",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553447930",
"telephone_number": "612-710-3671",
"fax_number": "763-295-4946"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHRYN LYNN FISCHER, MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FISCHER",
"authorized_official_first_name": "KATHRYN",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "612-710-3671",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "47326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.