Active NPI
Katherine Bilbro Fisher, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Raleigh, NC
National Provider Identifier
1720490899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5007037
- Practice address
- 319 Chapanoke Rd Ste 120
Raleigh, NC 27603-3433 - Phone
- (919) 322-5911
- Fax
- (919) 703-2847
- NPI assigned
- May 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN196389 | GA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5007037 | NC | Primary |
Addresses
Primary practice location
319 Chapanoke Rd Ste 120
Raleigh, NC 27603-3433
Mailing address
700 Teal Lake Dr
Holly Springs, NC 27540-3397
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN196389 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
| 5007037 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monarch | Current | Accepting new patients |
Locations
350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522
300 Ashville Ave
Ste 200
Cary, NC 27518
Phone (919) 650-3325
1810 Back Creek Dr
Charlotte, NC 28213
Phone (608) 346-9942
820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071
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.
-
- Community/Behavioral Health Agency
- Albemarle, NC
- NPI 1801116405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597363200000",
"number": "1720490899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 TEAL LAKE DR",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275403397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 CHAPANOKE RD STE 120",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276033433",
"telephone_number": "919-322-5911",
"fax_number": "919-703-2847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "KATHERINE",
"middle_name": "BILBRO",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-23",
"last_updated": "2020-08-14",
"certification_date": "2020-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "RN196389",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5007037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.