Active NPI
Aileen Fisher, MD
- Geriatric Psychiatry Physician
- Grand Prairie, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- K8151
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MD Trucare PA | Psychiatry | Current | Accepting new patients |
Locations
823 Ira E Woods Ave
Ste 200
Grapevine, TX 76051
Phone (817) 421-9999
Interoperability endpoints
- 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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Grapevine, TX
- NPI 1043754526
Psychiatry
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grapevine, TX
- NPI 1073511762
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.