Robert Fisher

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

215428 Issued in TX

Practice address

4076 Neely Rd
Bassett Army Community Hospital Internal Med Clinic
Fort Wainwright, AK 99703

Phone

(907) 361-4179

NPI assigned

Apr 13, 2016

Last updated

Apr 13, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1053775213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4076 NEELY RD",
            "address_2": "BASSETT ARMY COMMUNITY HOSPITAL INTERNAL MED CLINIC",
            "city": "FORT WAINWRIGHT",
            "state": "AK",
            "postal_code": "99703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4076 NEELY RD",
            "address_2": "BASSETT ARMY COMMUNITY HOSPITAL INTERNAL MED CLINIC",
            "city": "FORT WAINWRIGHT",
            "state": "AK",
            "postal_code": "99703",
            "telephone_number": "907-361-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "215428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Englert, PSYD
• Lena Marie Fabian, CNM
• Karen Anne Fell, ANP
• John Michael Fierro, CRNA
• Levi Daniel Fisher, PA-C
• Justine E. Fogell, RD
• David Randal Fohan, M.D., D.M.D.
• Lauren Fox, ATC
• McKay Frandsen, DO
• Gregory S. Furdek, DDS

• Licensed Practical Nurse in Fort Wainwright, AK
• Providers in Fort Wainwright, AK by specialty
• Licensed Practical Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.