Individual provider Active NPI

Olivia M Fisher, DC

  • Chiropractor
  • White Hall, AR
National Provider Identifier
1265899041
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16100 Issued in AR
Practice address
7721 Dollarway Rd Ste 1
White Hall, AR 71602-3040
Phone
(870) 247-1008
NPI assigned
Jan 25, 2016
Last updated
May 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16100 AR Primary

Addresses

Primary practice location

7721 Dollarway Rd Ste 1
White Hall, AR 71602-3040

Mailing address

11209 Hickory Hill Rd
Little Rock, AR 72211-4367
Phone (870) 247-1008

Other practice location 1

6801 W 12th St
Suite E
Little Rock, AR 72204-2401
Phone (501) 716-9999

Other identifiers 2

IdentifierTypeStateIssuer
06100OtherARLICENSE NUMBER
11209OtherARADDRESS

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL oliviafisherdc@yahoo.com
Other URL oliviafisherdc@yahoo.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220824002428 AR Practitioner - Chiropractic 9032592019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7721 Dollarway Rd
Unit 1
White Hall, AR 71602-3040
Phone (870) 247-1008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Olivia M Fisher DC Chiropractor CurrentSince May 13, 2022 Accepting new patients

Locations

7721 Dollarway Rd
#1
White Hall, AR 71602
Phone (870) 247-1008

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1265899041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11209 HICKORY HILL RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114367",
            "telephone_number": "870-247-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7721 DOLLARWAY RD STE 1",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716023040",
            "telephone_number": "870-247-1008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6801 W 12th St",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722042401",
            "country_code": "US",
            "telephone_number": "501-716-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "OLIVIA",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "06100",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADDRESS",
            "identifier": "11209",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "oliviafisherdc@yahoo.com",
            "affiliation": "N",
            "address_1": "7721 Dollarway Rd Ste 1",
            "city": "White Hall",
            "state": "AR",
            "country_code": "US",
            "postal_code": "716023040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "oliviafisherdc@yahoo.com",
            "affiliation": "N",
            "address_1": "7721 Dollarway Rd Ste 1",
            "city": "White Hall",
            "state": "AR",
            "country_code": "US",
            "postal_code": "716023040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in White Hall, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.

Verify at the official NPI Registry.