Kelly R Fisher, LRD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

440 Issued in ND

Practice address

209 N 7TH St
Bismarck, ND 58501-4441

Phone

(701) 323-5590

Fax

(701) 323-8109

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kelly R Nagel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Medcenter One Health Systems DME

  • Durable Medical Equipment & Medical Supplies
  • Bismarck, ND
  • NPI 1629113253
  NPD
• Sanford Bismarck

  dba Sanford Laboratory Bismarck

  • Clinical Medical Laboratory
  • Bismarck, ND
  • NPI 1154485944
  NPD

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1285722926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5501",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585065501",
            "telephone_number": "701-323-6000",
            "fax_number": "701-323-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N 7TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014441",
            "telephone_number": "701-323-5590",
            "fax_number": "701-323-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "KELLY",
        "middle_name": "R",
        "credential": "LRD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ND",
            "license": "440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59579",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "NAGEL",
            "middle_name": "R",
            "credential": "LRD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jonathan Jay Fischer, PT
• Mikaela Marie Fischer
• Nicole Fischer
• Sasha Fischer, MS,OTR/L
• Catherine Patricia Fisher, M.D.
• Nicole Fisher
• Rachel Fisher
• Ashley Fix
• Heather Brooke Flaa, PA-C
• Megan Flath, FNP

• Registered Dietitian in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Registered Dietitian in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.