Active NPI
Jessica Marie Fisher, MD
- Pediatrics Physician
- Newton, KS
National Provider Identifier
1457976474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 04-47948
- Practice address
- 700 Medical Center Dr Ste 150
Newton, KS 67114-9015 - Phone
- (316) 283-7100
- Fax
- (316) 283-7118
- NPI assigned
- Jun 15, 2020
- Last updated
- Sep 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 8848 | NE | |
| Pediatrics Physician | 208000000X | 04-47948 | KS | Primary |
Addresses
Primary practice location
700 Medical Center Dr Ste 150
Newton, KS 67114-9015
Mailing address
Cottonwood Pediatrics, PA
700 Medical Center Drive, Ste 150
Newton, KS 67114-9015
Phone (316) 283-7100
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-47948 | KS | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska Medical Center | Past | Accepting new patients | |
| Newton Healthcare Corporation | Past | Accepting new patients | |
| Cottonwood Pediatrics, PA | Pediatrics | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Newton, KS
- NPI 1407859119
-
- Children's Hospital
- Omaha, NE
- NPI 1164641312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1457976474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COTTONWOOD PEDIATRICS, PA",
"address_2": "700 MEDICAL CENTER DRIVE, STE 150",
"city": "NEWTON",
"state": "KS",
"postal_code": "671149015",
"telephone_number": "316-283-7100",
"fax_number": "316-283-7118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 MEDICAL CENTER DR STE 150",
"city": "NEWTON",
"state": "KS",
"postal_code": "671149015",
"telephone_number": "316-283-7100",
"fax_number": "316-283-7118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "JESSICA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-15",
"last_updated": "2023-09-05",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NE",
"license": "8848",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KS",
"license": "04-47948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.