Michael Wesley Fish, LPN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

226437 Issued in TX

Practice address

8408 133Rd St E
Puyallup, WA 98373-2596

Phone

(253) 335-9438

NPI assigned

May 17, 2010

Last updated

May 17, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274054400000",
    "number": "1780902619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8408 133RD ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983732596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8408 133RD ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983732596",
            "telephone_number": "253-335-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISH",
        "first_name": "MICHAEL",
        "middle_name": "WESLEY",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-17",
        "last_updated": "2010-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "226437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Fiorina, LICSW
• Laura Elayne Firetag, ND
• Erika Fisch
• Stephanie Virginia Fischer, LMT
• Holly Fish, MD
• Susan H Fish, PA-C
• Karisa Brook Fisher, LMP
• Roberta Fisher, LMP
• Charleen Fitzgerald
• Charlene Fitzgerald

• Licensed Vocational Nurse in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Licensed Vocational Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; 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.