Active NPI
Ardella Fisher
- Family Medicine Physician
- Houston, TX
National Provider Identifier
1891208831
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Apr 18, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- AP135826
- Practice address
- 14911 Oak Bluff CT
Houston, TX 77070-2209 - Phone
- (281) 904-2576
- NPI assigned
- Nov 13, 2017
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | AP135826 | TX | Primary |
Addresses
Primary practice location
14911 Oak Bluff CT
Houston, TX 77070-2209
Mailing address
19506 Sandy Bank Dr
Tomball, TX 77375-7755
Phone (281) 904-2576
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP135826 | TX | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553731200000",
"number": "1891208831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19506 SANDY BANK DR",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773757755",
"telephone_number": "281-904-2576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14911 OAK BLUFF CT",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770702209",
"telephone_number": "281-904-2576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "ARDELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-13",
"last_updated": "2019-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "AP135826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.