Active NPI
Mark Fisher, R.N.
- Registered Nurse
- Wilmington, DE
National Provider Identifier
1518312941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN644140
- Practice address
- 13 Main Ave
Wilmington, DE 19804 - Phone
- (203) 962-2960
- NPI assigned
- May 4, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN644140 | PA | Primary |
Addresses
Primary practice location
13 Main Ave
Wilmington, DE 19804
Mailing address
13 Main Ave
Wilmington, DE 19804-1828
Phone (203) 962-2960
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN644140 | PA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462320000000",
"number": "1518312941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 MAIN AVE",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198041828",
"telephone_number": "203-962-2960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 MAIN AVE",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19804",
"telephone_number": "203-962-2960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "MARK",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-04",
"last_updated": "2016-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN644140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.