Active NPI
Devin Fisher
- Speech-Language Pathologist
- Las Vegas, NV
National Provider Identifier
1184289647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 7425 W Azure Dr Ste 140
Las Vegas, NV 89130-4425 - Phone
- (702) 515-4009
- Fax
- (702) 553-3438
- NPI assigned
- May 9, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
7425 W Azure Dr Ste 140
Las Vegas, NV 89130-4425
Mailing address
697 Green Earth Dr Apt F
Fenton, MO 63026-3389
Phone (636) 575-3082
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190618000462 | NV | Practitioner - Qualified Speech Language Pathologist | 3779816129 |
Reassigns benefits to 1 organization Practice locations: Las Vegas, NV |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Speakeasy Therapy Services LLC
Practice addresses (Care Compare)
7425 W Azure Dr
Suite 140
Las Vegas, NV 89130-4425
Phone (702) 515-4009
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1184289647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "697 GREEN EARTH DR APT F",
"city": "FENTON",
"state": "MO",
"postal_code": "630263389",
"telephone_number": "636-575-3082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7425 W AZURE DR STE 140",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891304425",
"telephone_number": "702-515-4009",
"fax_number": "702-553-3438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "DEVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-09",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.