Individual provider Active NPI

Aileen Fisher, MD

  • Geriatric Psychiatry Physician
  • Grand Prairie, TX
National Provider Identifier
1881783876
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
K8151 Issued in TX
Practice address
3120 N Camino Lagos
Grand Prairie, TX 75054-6790
Phone
(817) 307-5257
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X K8151 TX
Geriatric Psychiatry Physician 2084P0805X K8151 TX Primary

Addresses

Primary practice location

3120 N Camino Lagos
Grand Prairie, TX 75054-6790

Mailing address

3540 E Broad St Ste 120-374
Mansfield, TX 76063-5633
Phone (817) 307-5257

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL https://pm-wfe-120.advancedmd.com/practicemanager/utility/ut_dataexport.asp Health Information Exchange (HIE)
Other URL GeriatricPsychiatryDiagnosisAndCare@148985.advancedmd-direct.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210813002328 TX Practitioner - Geriatric PsychiatryPractitioner - Psychiatry 1658564398 Reassigns benefits to 1 organization
Practice locations: Grand Prairie, TX

Care Compare profile

Medicare Care Compare
Specialty
Geriatric PsychiatryAlso: Psychiatry
Education
University of South Florida College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MD Trucare PAGroup PAC ID 1557643467, 17 clinicians

Practice addresses (Care Compare)

823 Ira E Woods Ave
Suite 200
Grapevine, TX 76051-4096
Phone (817) 722-6078

Hospital & facility affiliations

  • Baylor Scott & White Medical Center Grapevine Hospital, Grapevine, TX, CCN 450563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
MD Trucare PA Psychiatry CurrentSince Jan 3, 2024 Accepting new patients

Locations

823 Ira E Woods Ave
Ste 200
Grapevine, TX 76051
Phone (817) 421-9999

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJHDBD

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1881783876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 E BROAD ST STE 120-374",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635633",
            "telephone_number": "817-307-5257",
            "fax_number": "833-608-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 N CAMINO LAGOS",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750546790",
            "telephone_number": "817-307-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "AILEEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K8151",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "TX",
            "license": "K8151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://pm-wfe-120.advancedmd.com/practicemanager/utility/ut_dataexport.asp",
            "affiliation": "N",
            "endpointDescription": "Electronic Medical Record AdvancedMD HIE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pdf, docx, html, csv",
            "address_1": "3120 N Camino Lagos",
            "address_2": "Home / Telemedicine Office/ Administrative",
            "city": "Grand Prairie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750546970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "GeriatricPsychiatryDiagnosisAndCare@148985.advancedmd-direct.com",
            "affiliation": "N",
            "endpointDescription": "EMR HIE Site Surescripts CIE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Test Results, Lists of Medications, Visits, Diagnoses, Vitals",
            "address_1": "3120 N Camino Lagos",
            "address_2": "Home / Telemedicine Office/ Administrative",
            "city": "Grand Prairie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750546970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.