Individual provider Active NPI

Robin L Fiscus, AUD, CCC-A

  • Audiologist
  • Bremerton, WA
National Provider Identifier
1073864575
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
60183332 Issued in WA
Practice address
1411 Wheaton Way
Bremerton, WA 98310-4427
Phone
(360) 479-4065
Fax
(360) 479-3820
NPI assigned
Sep 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 60183332 WA Primary

Addresses

Primary practice location

1411 Wheaton Way
Bremerton, WA 98310-4427

Mailing address

1411 Wheaton Way
Bremerton, WA 98310-4427
Phone (360) 479-4065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140602002551 WA Practitioner - Qualified Audiologist 0840413340 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60183332WAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiologists Northwest, Inc. Audiologist PastSince Aug 4, 2017 Accepting new patients
Audiologists Northwest Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1073864575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 WHEATON WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104427",
            "telephone_number": "360-479-4065",
            "fax_number": "360-479-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 WHEATON WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104427",
            "telephone_number": "360-479-4065",
            "fax_number": "360-479-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCUS",
        "first_name": "ROBIN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "60183332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.