Individual provider Active NPI

Laura Fischbach

  • Family Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1609236421
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-121673 Issued in AL
Practice address
201 Governors Dr SW FL 1
Huntsville, AL 35801-5171
Phone
(256) 533-1600
Fax
(256) 539-0856
NPI assigned
Mar 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-121673 AL Primary

Addresses

Primary practice location

201 Governors Dr SW FL 1
Huntsville, AL 35801-5171

Mailing address

201 Governors Dr SW FL 1
Huntsville, AL 35801-5171
Phone (256) 533-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160803003038 AL Practitioner - Nurse Practitioner 8123327046 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-121673ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Huntsville Hospital Spine and Neuro Center CurrentSince Sep 15, 2021 Accepting new patients

Locations

1215 7th St SE
Ste G300
Decatur, AL 35601
Phone (256) 280-9335

201 Governors Dr SW
Fl 1
Huntsville, AL 35801
Phone (256) 533-8100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1609236421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 GOVERNORS DR SW FL 1",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015171",
            "telephone_number": "256-533-1600",
            "fax_number": "256-539-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GOVERNORS DR SW FL 1",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015171",
            "telephone_number": "256-533-1600",
            "fax_number": "256-539-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHBACH",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-07",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-121673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.