Active NPI
Anastasia Fish, PA
- Physician Assistant
- Fort Hood, TX
National Provider Identifier
1245068535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1221526
- Practice address
- 58 W 761St Tank Battalion Ave
Fort Hood, TX 76544 - Phone
- (254) 287-5410
- NPI assigned
- Jul 26, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1221526 | TX | Primary |
Addresses
Primary practice location
58 W 761St Tank Battalion Ave
Fort Hood, TX 76544
Mailing address
3009 Ira Young Dr Apt 501
Temple, TX 76504-6311
Phone (310) 944-2915
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1221526 | TX | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1245068535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3009 IRA YOUNG DR APT 501",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765046311",
"telephone_number": "310-944-2915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 W 761ST TANK BATTALION AVE",
"city": "FORT HOOD",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-287-5410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISH",
"first_name": "ANASTASIA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-26",
"last_updated": "2024-07-26",
"certification_date": "2024-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "1221526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Hood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.