Individual provider Active NPI

Mary Margaret Fouse-Bishop, BSN

  • Registered Nurse
  • Lakewood, CO
National Provider Identifier
1972784312
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
182908 Issued in CO
Practice address
645 Parfet St
Lakewood, CO 80215-5574
Phone
(303) 239-7135
Fax
(303) 239-7088
NPI assigned
Nov 14, 2007
Last updated
May 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 182908 CO Primary

Addresses

Primary practice location

645 Parfet St
Lakewood, CO 80215-5574

Mailing address

645 Parfet St
Lakewood, CO 80215-5574
Phone (303) 239-7135

Other identifiers 1

IdentifierTypeStateIssuer
92578365MedicaidCO

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
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
182908COMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson County Colorado Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1972784312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 PARFET ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802155574",
            "telephone_number": "303-239-7135",
            "fax_number": "303-239-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 PARFET ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802155574",
            "telephone_number": "303-239-7135",
            "fax_number": "303-239-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUSE-BISHOP",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "name_prefix": "Ms.",
        "credential": "BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "182908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92578365",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.