Jillian Nicole Fields, LAT,ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

809-18 Issued in ND

Practice address

1025 N 2ND St
Bismarck, ND 58501-3536

Phone

(636) 352-7983

NPI assigned

Jun 7, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1003475674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 SHARLOH LOOP",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585017700",
            "telephone_number": "636-352-7983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 N 2ND ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013536",
            "telephone_number": "636-352-7983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "JILLIAN",
        "middle_name": "NICOLE",
        "credential": "LAT,ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ND",
            "license": "809-18",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH DAKOTA BOARD OF ATHLETIC TRAINERS",
            "identifier": "809-18",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BISMARCK",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1025 N 2nd St",
            "city": "Bismarck",
            "state": "ND",
            "country_code": "US",
            "postal_code": "585013536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jenna L Ficek, CRNA
• Katie Fiechtner
• Marcus M Fiechtner, MD
• Daniel Field, M.D.
• David R Field, MD
• Megan Fields
• Sara Fiene, MD
• Laura Kay Filler, CRNA
• Marlee Finley, PHARMD
• John E Finn

• Athletic Trainer in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Athletic Trainer in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.