Mika Danielle Fisher, MPH, RDN, CPH
Individual provider Active NPI Registered Dietitian · Clovis, CA
NPI 1144092610 · NPPES record last updated Oct 26, 2023
Key facts
- NPI
- 1144092610
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86064320
- Practice address
- 2740 Herndon Ave
Clovis, CA 93611-6813 - Phone
- (559) 299-2608
- NPI assigned
- Oct 26, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Valley Indian Health Inc
Practice addresses (Care Compare)
2740 Herndon Ave
Clovis, CA 93611-6813
Phone (559) 299-4264
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241003003769 | CA | Practitioner - Registered Dietitian Or Nutrition Professional | 3678004488 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Valley Indian Health Inc | Current |
Accepting new patients | |
| Central Valley Indian Health, Inc. | Current |
Accepting new patients |
Locations
2740 Herndon Ave
Clovis, CA 93611
Phone (559) 299-2608
29369 Auberry Rd
Ste 102
Prather, CA 93651
Phone (559) 855-5390
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86064320 | Yes |
Addresses
Primary practice location
2740 Herndon Ave
Clovis, CA 93611-6813
Mailing address
195 W Portland Ave
Fresno, CA 93711-6041
Phone (951) 743-1816
Other providers in Clovis, CA
- Valerie Grace Fillmore
- Brian J Finegan
- Firstsight Vision Services, Inc.
- Jennifer J Fish
- Tawne Fishback
- Vanessa Elaine Fitzgerald
- Debbie Flint
- Ana Flores Gutierrez
- Andrea C Flores
- Briget Bernell Flores
All providers in Clovis, CA · Registered Dietitian in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.