Active NPI
Crystal Monique Fix, ATC/L
- Athletic Trainer
- Tempe, AZ
National Provider Identifier
1033482823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0957
- Practice address
- 1492 S Mill Ave
Suite 113
Tempe, AZ 85281-5652 - Phone
- (480) 257-2726
- NPI assigned
- Feb 9, 2012
- Last updated
- Feb 10, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0957 | AZ | Primary |
Addresses
Primary practice location
1492 S Mill Ave
Suite 113
Tempe, AZ 85281-5652
Mailing address
2629 W Beverly Rd
Phoenix, AZ 85041
Phone (928) 607-4368
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0957 | Other | AZ | ARIZONA BOARD OF ATHLETIC TRAINING |
| BOC105800 | Other | BOARD OF CERTIFICATION | |
| 1022867 | Other | NATIONAL ATHLETIC TRAINERS ASSOCIATION |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0957 | AZ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455062400000",
"number": "1033482823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2629 W BEVERLY RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85041",
"telephone_number": "928-607-4368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1492 S MILL AVE",
"address_2": "SUITE 113",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852815652",
"telephone_number": "480-257-2726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIX",
"first_name": "CRYSTAL",
"middle_name": "MONIQUE",
"credential": "ATC/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-09",
"last_updated": "2016-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AZ",
"license": "0957",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA BOARD OF ATHLETIC TRAINING",
"identifier": "0957",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF CERTIFICATION",
"identifier": "BOC105800",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL ATHLETIC TRAINERS ASSOCIATION",
"identifier": "1022867",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.