Individual provider Active NPI

Deidre Ann Fisher, APRN- FNP

  • Family Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1144703299
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R171482 Issued in MD
Practice address
7505 Democracy Blvd Apt 113
Bethesda, MD 20817-1238
Phone
(240) 560-5100
NPI assigned
Sep 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R171482 MD
Family Nurse Practitioner 363LF0000X R171482 MD Primary

Addresses

Primary practice location

7505 Democracy Blvd Apt 113
Bethesda, MD 20817-1238

Mailing address

7505 Democracy Blvd Apt 113
Bethesda, MD 20817-1238
Phone (240) 560-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181106000270 DC Practitioner - Nurse Practitioner 5597018762 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians
Fisher Dermatology and Aesthetics LLCGroup PAC ID 2668849688, 2 clinicians

Practice addresses (Care Compare)

10110 Molecular Dr
Suite 209
Rockville, MD 20850-7547
Phone (301) 500-0261

4910 Massachusetts Ave NW
Suite 114 Grady DC Office
Washington, DC 20016-4384
Phone (202) 686-0813

5454 Wisconsin Ave
Suite 1340
Chevy Chase, MD 20815-6935
Phone (301) 652-2585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R171482MDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Care Center LLC CurrentSince Jan 1, 2022 Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 1, 2018 Accepting new patients
Privia Care Center LLC CurrentSince Jan 1, 2022 Accepting new patients
Fisher Dermatology & Aesthetics LLC Family CurrentSince Jan 18, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 1, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

5454 Wisconsin Ave
Ste 1340
Chevy Chase, MD 20815
Phone (301) 652-2585

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

10110 Molecular Dr
Ste 209
Rockville, MD 20850
Phone (301) 500-0261

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: deidre.fisher.2@8042.direct.athenahealth.com

Organizations & group practices 7

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": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1144703299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 DEMOCRACY BLVD APT 113",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171238",
            "telephone_number": "240-560-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 DEMOCRACY BLVD APT 113",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171238",
            "telephone_number": "240-560-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "DEIDRE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN- FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R171482",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R171482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.