Organization Active NPI

Kathryn Lynn Fischer, MD, LLC

  • Psychiatry Physician
  • Eden Prairie, MN
National Provider Identifier
1043379571
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
47326 Issued in MN
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.