Individual provider Active NPI

Kendell Rachel Fisher, FNP-C

  • Family Nurse Practitioner
  • Cottonport, LA
National Provider Identifier
1487183497
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09512 Issued in LA
Practice address
1007 Sycamore St Ste B
Cottonport, LA 71327-3403
Phone
(800) 462-0742
Fax
(318) 876-3211
NPI assigned
Jun 5, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 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 AP09512 LA Primary
Registered Nurse 163W00000X RN119036 LA

Addresses

Primary practice location

1007 Sycamore St Ste B
Cottonport, LA 71327-3403

Mailing address

1007 Sycamore St Ste B
Cottonport, LA 71327-3403
Phone (800) 462-0742

Other practice location 1

1007 Sycamore St Ste B
Cottonport, LA 71327-3403
Phone (800) 462-0742

Other practice location 2

1007 Sycamore St Ste B
Cottonport, LA 71327-3403
Phone (800) 462-0742

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

State licenses

LicenseStateTypeSpecialty
RN119036LAMDRegistered Nurse
AP09512LAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487183497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 SYCAMORE ST STE B",
            "city": "COTTONPORT",
            "state": "LA",
            "postal_code": "713273403",
            "telephone_number": "800-462-0742",
            "fax_number": "318-876-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 SYCAMORE ST STE B",
            "city": "COTTONPORT",
            "state": "LA",
            "postal_code": "713273403",
            "telephone_number": "800-462-0742",
            "fax_number": "318-876-3211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1007 Sycamore St Ste B",
            "address_purpose": "LOCATION",
            "city": "Cottonport",
            "state": "LA",
            "postal_code": "713273403",
            "country_code": "US",
            "telephone_number": "800-462-0742",
            "fax_number": "318-717-1663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1007 Sycamore St Ste B",
            "address_purpose": "LOCATION",
            "city": "Cottonport",
            "state": "LA",
            "postal_code": "713273403",
            "country_code": "US",
            "telephone_number": "800-462-0742",
            "fax_number": "318-717-1663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "KENDELL",
        "middle_name": "RACHEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09512",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN119036",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.