Individual provider Active NPI

Danielle Croslin Fisher, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1356965891
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP146091 Issued in TX
Practice address
6600 Montana Ave Ste P
El Paso, TX 79925-2149
Phone
(915) 201-0199
Fax
(915) 233-3053
NPI assigned
Jun 1, 2020
Last updated
May 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP146091 TX Primary

Addresses

Primary practice location

6600 Montana Ave Ste P
El Paso, TX 79925-2149

Mailing address

1605 George Dieter Dr Ste 636
El Paso, TX 79936-5692
Phone (915) 671-1371

Other practice location 1

1225 E Cliff Dr Bldg 3
El Paso, TX 79902-4738
Phone (915) 239-2955

Other practice location 2

201 S Darrington Rd Ste B
Horizon City, TX 79928-7526
Phone (915) 239-2955

Other identifiers 1

IdentifierTypeStateIssuer
410875502MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1356965891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 GEORGE DIETER DR STE 636",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365692",
            "telephone_number": "915-671-1371",
            "fax_number": "915-219-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 MONTANA AVE STE P",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799252149",
            "telephone_number": "915-201-0199",
            "fax_number": "915-233-3053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 E Cliff Dr Bldg 3",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799024738",
            "country_code": "US",
            "telephone_number": "915-239-2955",
            "fax_number": "915-249-6155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 S Darrington Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Horizon City",
            "state": "TX",
            "postal_code": "799287526",
            "country_code": "US",
            "telephone_number": "915-239-2955",
            "fax_number": "915-249-6155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "DANIELLE",
        "middle_name": "CROSLIN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP146091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410875502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.