Katelyn Fischbach, MS, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

3348 Issued in MN

Practice address

800 W College Ave
Saint Peter, MN 56082-1485

Phone

(507) 933-8000

NPI assigned

Jun 27, 2016

Last updated

Jun 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gustavus Adolphus College

  • Family Nurse Practitioner
  • Saint Peter, MN
  • NPI 1508911330
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1194176529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 HOPE ST APT 315",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560012293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W COLLEGE AVE",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560821485",
            "telephone_number": "507-933-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 11th Ave S",
            "address_purpose": "LOCATION",
            "city": "South Saint Paul",
            "state": "MN",
            "postal_code": "550752526",
            "country_code": "US",
            "telephone_number": "651-319-2118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISCHBACH",
        "first_name": "KATELYN",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "3348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ericksons Diversified LLC (Family Fresh Market Pharmacy)
• Emily Ann Evan, PHARMD
• Stefania Faraca
• Joseph Robert Finn, PHD, LP
• Kendra Lee Finn, DO
• Tiana Monique Fitzsimmons, LICSW
• Kristina Flattum
• Gabrielle Flesher, PHARMD
• James A Folden, RPH
• Foot & Ankle Clinic of St. Peter, Inc.

• Athletic Trainer in Saint Peter, MN
• Providers in Saint Peter, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.