Individual provider Active NPI

Michelle Rita Fisher, APRN

  • Nurse Practitioner
  • Dover, DE
National Provider Identifier
1487854477
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
L6-0000174 Issued in DE
Practice address
Delaware State University
1200 N. Dupont Hwy., Attn - Student Health Ctr
Dover, DE 19901
Phone
(302) 857-6393
Fax
(302) 857-7676
NPI assigned
Jul 19, 2007
Last updated
Jul 19, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X L6-0000174 DE Primary

Addresses

Primary practice location

Delaware State University
1200 N. Dupont Hwy., Attn - Student Health Ctr
Dover, DE 19901

Mailing address

Delaware State University
1200 N. Dupont Hwy., Attn - Student Health Ctr
Dover, DE 19901
Phone (302) 857-6393

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L6-0000174DEMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1487854477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DELAWARE STATE UNIVERSITY",
            "address_2": "1200 N. DUPONT HWY., ATTN - STUDENT HEALTH CTR",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "19901",
            "telephone_number": "302-857-6393",
            "fax_number": "302-857-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DELAWARE STATE UNIVERSITY",
            "address_2": "1200 N. DUPONT HWY., ATTN - STUDENT HEALTH CTR",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "19901",
            "telephone_number": "302-857-6393",
            "fax_number": "302-857-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "MICHELLE",
        "middle_name": "RITA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "L6-0000174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.