Individual provider Active NPI

Patricia Lane Fisher, ANP-BC

  • Gerontology Nurse Practitioner
  • Greenwood Village, CO
National Provider Identifier
1407181050
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
181473 Issued in CO
Practice address
6455 S Yosemite St Ste 600
Greenwood Village, CO 80111-5143
Phone
(720) 641-0233
Fax
(855) 257-8295
NPI assigned
Oct 14, 2009
Last updated
Dec 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 181473 CO Primary

Addresses

Primary practice location

6455 S Yosemite St Ste 600
Greenwood Village, CO 80111-5143

Mailing address

6455 S Yosemite St Ste 600
Greenwood Village, CO 80111-5143
Phone (720) 641-0233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
181473COMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Colorado, PC Past Accepting new patients

Organizations & group practices 1

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": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1407181050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6455 S YOSEMITE ST STE 600",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801115143",
            "telephone_number": "720-641-0233",
            "fax_number": "855-257-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6455 S YOSEMITE ST STE 600",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801115143",
            "telephone_number": "720-641-0233",
            "fax_number": "855-257-8295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "PATRICIA",
        "middle_name": "LANE",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-14",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "181473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.