Abigail Eleanor Fitzgibbons

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

ATL3903 Issued in MA

Practice address

5121 Woodlawn Blvd
Minneapolis, MN 55417-1349

Phone

(612) 385-4199

NPI assigned

Feb 22, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1003672544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 WOODLAWN BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 WOODLAWN BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171349",
            "telephone_number": "612-385-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGIBBONS",
        "first_name": "ABIGAIL",
        "middle_name": "ELEANOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-22",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "ATL3903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Fitzgerald, RN
• Kathleen A Fitzgerald
• Kevin Fitzgerald, D.D.S.
• Maura Fitzgerald, CNS
• Theresa Mangahas Fitzgerald, MD
• Anne Marie Fitzgibbons, OTR
• Kinsey Marie Fitzloff, LGSW
• Kenna Marie Fitzpatrick, LGSW
• John M Fitzsimmons, MD
• Margaret Lydia Carlson Fitzthum, RN, NP-C

• Athletic Trainer in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.