Active NPI
Eleanor D Fisher, CRNA
- Certified Registered Nurse Anesthetist
- Talladega, AL
National Provider Identifier
1598878795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-033266
- Practice address
- 604 Stone Ave
Talladega, AL 35160-2217 - Phone
- (256) 362-8111
- Fax
- (256) 761-4203
- NPI assigned
- Aug 15, 2006
- Last updated
- Jul 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1-033266 | AL | Primary |
Addresses
Primary practice location
604 Stone Ave
Talladega, AL 35160-2217
Mailing address
PO Box 660685
Birmingham, AL 35266-0685
Phone (205) 979-5882
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051532039 | Medicaid | AL | |
| 51532039 | Other | AL | BCBS # |
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
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-033266 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Group East PC | Past | Accepting new patients | |
| Anesthesia Group East PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Birmingham, AL
- NPI 1124015623
-
- Anesthesiology Physician
- Birmingham, AL
- NPI 1376675181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1598878795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660685",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352660685",
"telephone_number": "205-979-5882",
"fax_number": "205-979-1248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 STONE AVE",
"city": "TALLADEGA",
"state": "AL",
"postal_code": "351602217",
"telephone_number": "256-362-8111",
"fax_number": "256-761-4203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "ELEANOR",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-033266",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051532039",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS #",
"identifier": "51532039",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Talladega, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.