Individual provider Active NPI

Nicole Bakker Fier, MD

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1104806801
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
045217 Issued in GA
Practice address
280 Elizabeth St NE
Ste a-112
Atlanta, GA 30307-1967
Phone
(770) 507-0005
Fax
(770) 507-5551
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 045217 GA Primary
Forensic Psychiatry Physician 2084F0202X 045217 GA

Addresses

Primary practice location

280 Elizabeth St NE
Ste a-112
Atlanta, GA 30307-1967

Mailing address

280 Elizabeth St NE
Ste a-112
Atlanta, GA 30307-1967
Phone (770) 507-0005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
045217GAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1104806801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 ELIZABETH ST NE",
            "address_2": "STE A-112",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071967",
            "telephone_number": "770-507-0005",
            "fax_number": "770-507-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 ELIZABETH ST NE",
            "address_2": "STE A-112",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071967",
            "telephone_number": "770-507-0005",
            "fax_number": "770-507-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIER",
        "first_name": "NICOLE",
        "middle_name": "BAKKER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "045217",
            "primary": true
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "GA",
            "license": "045217",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.