Individual provider Active NPI

Anne Hallett Fishwick, FNP

  • Family Nurse Practitioner
  • Deerfield BCH, FL
National Provider Identifier
1679933485
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130393 Issued in TX
Practice address
600 W Hillsboro Blvd
Suite 110
Deerfield BCH, FL 33441-1609
Phone
(954) 990-2050
NPI assigned
Mar 7, 2016
Last updated
Mar 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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 AP130393 TX Primary

Addresses

Primary practice location

600 W Hillsboro Blvd
Suite 110
Deerfield BCH, FL 33441-1609

Mailing address

1100 S Lamar Blvd
Apt. #3004
Austin, TX 78704-0119
Phone (510) 499-3916

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
AP130393TXMDFamily Nurse Practitioner

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": "1457308800000",
    "number": "1679933485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S LAMAR BLVD",
            "address_2": "APT. #3004",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787040119",
            "telephone_number": "510-499-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W HILLSBORO BLVD",
            "address_2": "SUITE 110",
            "city": "DEERFIELD BCH",
            "state": "FL",
            "postal_code": "334411609",
            "telephone_number": "954-990-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHWICK",
        "first_name": "ANNE",
        "middle_name": "HALLETT",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield BCH, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.