DEBORAH A FISCUS (NPI# 1215075619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215075619 |
| Entity Type | Individual |
| Full Name | DEBORAH A FISCUS |
| Credential | ARNP |
| Practice Address |
11695 Ne 4th St Bellevue WA 98004-5268 |
| Mailing Address |
1100 9th Ave Ms:m4-pfs Seattle WA 98101-2756 |
| Practice Telephone | 4256371855 |
| Mailing Telephone | 2065155811 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
AP30001622 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | RAILROAD MC# | 500025494 | 01 |
| WA | AETNA SPECIALIST PIN | US2882562 | 01 |
| WA | BLUE SHIELD # | 5341FI | 01 |
| WA | 9607201 | 05 | |
| WA | LABOR AND INDUSTRIES # | 0039592 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1100 9th Ave, Seattle, WA 981012756 | 2062236600 |
| Street Address |
11695 NE 4TH ST |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-5268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336180413 | Mathew A Nicholls | Orthopaedic Surgery | 11695 Ne 4th St, Bellevue, WA 98004-5268 | 2006-06-09 |
| 1033684428 | Hana Kahn | Nurse Practitioner | 11695 Ne 4th St, Bellevue, WA 98004-5268 | 2018-10-11 |
| 1457898769 | Krista Van Dam | Physician Assistant | 11695 Ne 4th St, Bellevue, WA 98004-5268 | 2017-01-24 |
| 1013319854 | Laura R Wendzich | Physician Assistant | 11695 Ne 4th St, Bellevue, WA 98004-5268 | 2014-09-24 |
| 1750792982 | David John Schneider | Pediatrics | 11695 Ne 4th St, Bellevue, WA 98004-5268 | 2014-05-09 |
| 1699119925 | Kaori Yoshida | Internal Medicine | 11695 Ne 4th St, Bellevue, WA 98004-5268 | 2013-04-17 |
| 1356784755 | Stephen J Kaplan | Surgery | 11695 Ne 4th St, Bellevue, WA 98004-5268 | 2013-04-16 |
| 1043502552 | Helen Shih | Internal Medicine | 11695 Ne 4th St, Bellevue, WA 98004-5268 | 2011-05-03 |
| 1780867200 | Sumita Rao | Physical Therapist | 11695 Ne 4th St, Bellevue, WA 98004-5268 | 2007-12-06 |
| 1427258797 | Edward M Esparza | Dermatology | 11695 Ne 4th St, Bellevue, WA 98004-5268 | 2007-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003119009 | Jessica Swenson | Nurse Practitioner | 1231 116th Ave Ne, Suite 950, Bellevue, WA 98004-3804 | 2010-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922647544 | Rashelle Christine Schenkenberger | Nurse Practitioner | 13107 E 25th Ave, Spokane Valley, WA 99216-2516 | 2019-12-30 |
| 1801353750 | Geri Lynne Van Dyken | Nurse Practitioner | 400 Liberty St, Lynden, WA 98264-1939 | 2019-02-27 |
| 1770054223 | Anacortes Midwifery Care LLC | Nurse Practitioner | 1015 6th St Ste 102, Anacortes, WA 98221-1798 | 2018-12-10 |
| 1740756360 | Natalia V Haire | Nurse Practitioner | 1105 Division Ave Ste 101, Tacoma, WA 98403-1646 | 2018-10-22 |
| 1912368127 | Alicia Darr | Nurse Practitioner | 201 Nw Birch St, Coupeville, WA 98239-3129 | 2016-03-15 |
| 1356613319 | Cynthia Anderson | Nurse Practitioner | 1525 Se King Dr, Pullman, WA 99163-7014 | 2012-02-06 |
| 1356575807 | Ashley Rebecca Wilson | Nurse Practitioner | 1525 Se King Drive, Pullman, WA 99163 | 2009-05-13 |
| 1902057250 | Kathryn Jane Austin | Nurse Practitioner | 534 Catherine St, Walla Walla, WA 99362-3130 | 2008-10-06 |
| 1770709107 | Ivy M Cameron | Nurse Practitioner | 900 Stevens Dr Ste 203, Richland, WA 99352-3536 | 2007-04-17 |
| 1750433223 | Lauren B Jaye | Nurse Practitioner | 941 S 4th St, La Conner, WA 98257-4717 | 2007-01-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.