Active NPI
Janean M Fisher
- Behavior Technician
- Rancho Mirage, CA
National Provider Identifier
1972188902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- H12844180
- Practice address
- 72877 Dinah Shore Dr # 103-416
Rancho Mirage, CA 92270-2763 - Phone
- (949) 726-8324
- NPI assigned
- Mar 11, 2021
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | H12844180 | NE | Primary |
Addresses
Primary practice location
72877 Dinah Shore Dr # 103-416
Rancho Mirage, CA 92270-2763
Mailing address
72877 Dinah Shore Dr # 103-416
Rancho Mirage, CA 92270-2763
Phone (949) 474-1493
Other practice location 1
1299 Farnam St
Omaha, NE 68102-1880
Phone (402) 252-1363
Other practice location 2
3652 Michelson Dr
Irvine, CA 92612-1727
Phone (949) 474-1493
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H12844180 | NE | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1972188902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72877 DINAH SHORE DR # 103-416",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922702763",
"telephone_number": "949-474-1493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72877 DINAH SHORE DR # 103-416",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922702763",
"telephone_number": "949-726-8324"
}
],
"practiceLocations": [
{
"address_1": "1299 Farnam St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681021880",
"country_code": "US",
"telephone_number": "402-252-1363",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3652 Michelson Dr",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926121727",
"country_code": "US",
"telephone_number": "949-474-1493",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISHER",
"first_name": "JANEAN",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-11",
"last_updated": "2022-08-19",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NE",
"license": "H12844180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.