Haliann Fitzgerald, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000030370 Issued in NY

Practice address

1157 Route 55
Lagrangeville, NY 12540

Phone

(845) 486-4860

NPI assigned

Sep 18, 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

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": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1033769476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 BORDENS CIR",
            "city": "WALLKILL",
            "state": "NY",
            "postal_code": "125893935",
            "telephone_number": "845-522-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 ROUTE 55",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "12540",
            "telephone_number": "845-486-4860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 South Rd",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126016053",
            "country_code": "US",
            "telephone_number": "845-454-0120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "HALIANN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "2000030370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabelle Estremera, OTR/L
• Lynn Ann Eves, RN
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• Marisa Nicole Ferro, MENTAL HEALTH
• Monica Lynn Fiorelli, LPN
• Nicole Fitzpatrick, M.S. OTR/L
• Nancy L Flores
• Kristen N Forehand, DMD
• Christine Frankel, LPN
• Stephen H Gair

• Athletic Trainer in Lagrangeville, NY
• Providers in Lagrangeville, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.