Individual provider Active NPI

Emilia Fischer, FNP

  • Family Nurse Practitioner
  • Murray, UT
National Provider Identifier
1326514274
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10966187-4405 Issued in UT
Practice address
5505 S 900 E Ste 240
Murray, UT 84117-7210
Phone
(801) 783-5011
Fax
(801) 746-3734
NPI assigned
Oct 18, 2018
Last updated
Nov 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10966187-4405 UT Primary
Registered Nurse 163W00000X RN50929 NV

Addresses

Primary practice location

5505 S 900 E Ste 240
Murray, UT 84117-7210

Mailing address

PO Box 3299
Carson City, NV 89702-3299
Phone (801) 783-5011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190318000789 UT Practitioner - Nurse Practitioner 5294075958 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN50929NVMDRegistered Nurse
10966187-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Regional Hospitalists LLC CurrentSince Nov 29, 2018 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Nov 29, 2018 Accepting new patients

Locations

775 N 200 E
Brigham City, UT 84302
Phone (435) 723-7777

5505 S 900 E
Ste 240
Murray, UT 84117
Phone (801) 428-3389

1992 S Columbia Ln
Orem, UT 84097
Phone (801) 724-6500

2730 E 3300 S
Salt Lake Cty, UT 84109
Phone (801) 487-0896

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 562-4210

Organizations & group practices 2

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": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1326514274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3299",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897023299",
            "telephone_number": "801-783-5011",
            "fax_number": "801-746-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 S 900 E STE 240",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841177210",
            "telephone_number": "801-783-5011",
            "fax_number": "801-746-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "EMILIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "10966187-4405",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN50929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.