Jenifer Liz Fischer King, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

812523 Issued in CA

Practice address

1450 Garden Brook St Unit B
McKinleyville, CA 95519-6420

Phone

(949) 201-7799

NPI assigned

Sep 12, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jenifer Liz Fischer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1053746735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 GARDEN BROOK ST UNIT B",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955196420",
            "telephone_number": "949-201-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 GARDEN BROOK ST UNIT B",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955196420",
            "telephone_number": "949-201-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER KING",
        "first_name": "JENIFER",
        "middle_name": "LIZ",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "CA",
            "license": "812523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENIFER",
            "last_name": "FISCHER",
            "middle_name": "LIZ",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Ambulatory Care Registered Nurse in McKinleyville, CA
• Providers in McKinleyville, CA by specialty
• Ambulatory Care Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.