Aubry Blanchard Fisk Jr., LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT0160 Issued in TX

Practice address

2535 Ira E Woods Ave
Grapevine, TX 76051-3930

Phone

(817) 481-2121

Fax

(817) 488-4493

NPI assigned

Feb 17, 2006

Last updated

Jan 21, 2016By the provider in NPPES

Sex

Male

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1073587762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6272 GLENVIEW DR APT 173",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761809200",
            "telephone_number": "817-999-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 IRA E WOODS AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513930",
            "telephone_number": "817-481-2121",
            "fax_number": "817-488-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISK",
        "first_name": "AUBRY",
        "middle_name": "BLANCHARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT0160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humberto Figueroa Perez, DC
• Barry Alan Firstenberg, DO
• Firstline Home Healthcare Inc
• Haleigh Michelle Fisher, LPC
• Jonathan Fisher, LPC
• Lynda Helene Flaherty
• Melaney Nichole Flaniken, LPC
• Emily Anne Flannery, PT
• Kristen Elizabeth Fleager, M.D.
• Kelli Fletcher, NP

• Athletic Trainer in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.

Verify at the official NPI Registry.