Joanna Fletcher, LAT/ ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096 Issued in WY

Practice address

117 W Timothy St
Gillette, WY 82718-5870

Phone

(307) 689-2527

NPI assigned

Dec 31, 2015

Last updated

Dec 31, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1451520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451520000000",
    "number": "1174989420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W TIMOTHY ST",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185870",
            "telephone_number": "307-689-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W TIMOTHY ST",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185870",
            "telephone_number": "307-689-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "JOANNA",
        "credential": "LAT/ ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WY",
            "license": "096",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT4134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Leonard Fischer, O.D.
• Susan Elizabeth Fisher, PH.D.
• Cynthia Ann Flanery Wilson, LPC
• Taylor Fleming
• Wendy Lee Fletcher-Niehoff, M.S. CCC-SLP, IBCLC
• Brooke Marie Flicek, DPT
• Stuart Fluharty, RPH
• William J. Forman, M.D.
• Noah J Forrey, PA-C
• Miles Fortner, D.C.

• Athletic Trainer in Gillette, WY
• Providers in Gillette, WY by specialty
• Athletic Trainer in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.