Active NPI
Craig Jamal Fisher, CNA
- Personal Care Attendant
- Capitol Heights, MD
National Provider Identifier
1194273904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- A00122525
- Practice address
- 1111 Glacier Ave
Capitol Heights, MD 20743-5905 - Phone
- (240) 593-5962
- NPI assigned
- Sep 21, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | A00122525 | MD | Primary |
Addresses
Primary practice location
1111 Glacier Ave
Capitol Heights, MD 20743-5905
Mailing address
1111 Glacier Ave
Capitol Heights, MD 20743-5905
Phone (240) 593-5962
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A00122525 | MD | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1194273904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 GLACIER AVE",
"city": "CAPITOL HEIGHTS",
"state": "MD",
"postal_code": "207435905",
"telephone_number": "240-593-5962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 GLACIER AVE",
"city": "CAPITOL HEIGHTS",
"state": "MD",
"postal_code": "207435905",
"telephone_number": "240-593-5962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "CRAIG",
"middle_name": "JAMAL",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-21",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "MD",
"license": "A00122525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Capitol Heights, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.