Dixie Ann Fisher, CNP
Individual provider Active NPI Women's Health Nurse Practitioner · Oakdale, CA
NPI 1295859692 · NPPES record last updated Jan 16, 2019
Key facts
- NPI
- 1295859692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- NP11965 (CA)
- Practice address
- 1420 W H St
Oakdale, CA 95361 - Phone
- (209) 848-5336
- Fax
- (209) 848-5338
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200327000992 | CA | Order and Referring Only - Nurse Practitioner | 1759549413 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP11965 | CA | MD | Women's Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | NP11965 | CA | Yes |
Addresses
Primary practice location
1420 W H St
Oakdale, CA 95361
Mailing address
3032 Darius LN
Modesto, CA 95355-1866
Phone (209) 499-0934
Other practice location 1
1420 W H St
Oakdale, CA 95361
Phone (209) 848-5336
Other providers in Oakdale, CA
- Amin Esfahani
- Michelle Morales Espinosa
- Irene Esquivel
- Samantha Esquivel
- Feeling Heard Family Therapy Professional Corporation
- Jennifer Flood
- Florin Vlasie M.D., Inc.
- David G Fuller
- Nathan Fuller
- Jennifer Anne Garcia
All providers in Oakdale, CA · Women's Health Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.