Individual provider Active NPI

Janean M Fisher

  • Behavior Technician
  • Rancho Mirage, CA
National Provider Identifier
1972188902
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
H12844180 Issued in NE
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

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
H12844180NEMDBehavior 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.

Verify at the official NPI Registry.