Active NPI
Terri L Fisher, RD,LD
- Renal Nutrition Registered Dietitian
- Phoenix, AZ
National Provider Identifier
1790892347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- Practice address
- 3003 N Central Ave
Suitet100
Phoenix, AZ 85012-2902 - Phone
- (602) 263-5446
- NPI assigned
- Aug 23, 2006
- Last updated
- Oct 8, 2012
- 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 |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | NU | Primary |
Addresses
Primary practice location
3003 N Central Ave
Suitet100
Phoenix, AZ 85012-2902
Mailing address
15984 W Watkins St
Goodyear, AZ 85338-3410
Phone (928) 310-2274
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349654400000",
"number": "1790892347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15984 W WATKINS ST",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853383410",
"telephone_number": "928-310-2274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003 N CENTRAL AVE",
"address_2": "SUITET100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122902",
"telephone_number": "602-263-5446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "TERRI",
"middle_name": "L",
"credential": "RD,LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2012-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.