Sara Jewelle Fisher

Primary specialty

Medical Art Specialist/TechnologistTaxonomy code 246ZA2600X

License

JKOI-BSNM6T Issued in NY

Practice address

721 Union Rd
West Seneca, NY 14224-3933

Phone

(716) 218-0347

NPI assigned

Dec 1, 2022

Last updated

Dec 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1275243248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6058 STRAUSS RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945814",
            "telephone_number": "716-803-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243933",
            "telephone_number": "716-218-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "SARA",
        "middle_name": "JEWELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZA2600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Art, Medical",
            "state": "NY",
            "license": "JKOI-BSNM6T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.immortelle-permanentmakeup.com",
            "affiliation": "N",
            "endpointDescription": "tattooing",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "immortellepermanentmakeup@yahoo.com",
            "address_1": "721 Union Rd",
            "city": "West Seneca",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142243933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Felber, PA-C
• Erika L Felicetta, LMT
• Nicole Fernandez, P.T.
• Kaitlyn Ferreira, RD
• Shalaya Danyelle Ferrell, LMT
• Casey Fitzgerald
• Sharon Fitzgerald, RPH
• Denise Katherine Flis, RN
• Alana Margaret Flitt, D.C.
• Sheri Ann Forman, RPH

• Medical Art Specialist/Technologist in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Medical Art Specialist/Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.