Joel Fisher, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND8106 Issued in FL

Practice address

10961 Burnt Mill Rd Apt 1221
Jacksonville, FL 32256-4658

Phone

(407) 252-5243

NPI assigned

Jun 20, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624147200000",
    "number": "1245809789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10961 BURNT MILL RD APT 1221",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564658",
            "telephone_number": "407-252-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10961 BURNT MILL RD APT 1221",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564658",
            "telephone_number": "407-252-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "JOEL",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-20",
        "last_updated": "2021-06-20",
        "certification_date": "2021-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND8106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Lee Fisher, PA
• Andrea J Fisher, APRN, FNP-C
• Anthony Fisher
• Cherica Dianne Fisher, LPN
• Floren F Fisher, ARNP
• Karen Fisher
• Kayla Fisher, RDN, CDE
• Kayla Rae Fisher, PA-C
• Lapatra Fisher, CNA
• Luke Andrew Fisher, MD

• Registered Dietitian in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.