Individual provider Active NPI

Patricia Lee Fisher, CFNP

  • Family Nurse Practitioner
  • Eureka, CA
National Provider Identifier
1952552762
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3565 Issued in SC
Practice address
2316 Harrison Ave
Eureka, CA 95501-3217
Phone
(707) 442-0478
Fax
(707) 443-2527
NPI assigned
Oct 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3565 SC Primary

Addresses

Primary practice location

2316 Harrison Ave
Eureka, CA 95501-3217

Mailing address

2316 Harrison Ave
Eureka, CA 95501-3217
Phone (707) 442-0478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101208001044 CA Practitioner - Nurse Practitioner 0840487450 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3565SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Humboldt del Norte Independent Practice Association CurrentSince Apr 18, 2023 Accepting new patients

Locations

2316 Harrison Ave
Eureka, CA 95501
Phone (707) 442-0478

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.

NPI Registry JSON

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1952552762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 HARRISON AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013217",
            "telephone_number": "707-442-0478",
            "fax_number": "707-443-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 HARRISON AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013217",
            "telephone_number": "707-442-0478",
            "fax_number": "707-443-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "PATRICIA",
        "middle_name": "LEE",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "3565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.