Active NPI
Alicia Fish, ATC
- Prevention Professional
- Frederick, MD
National Provider Identifier
1285221796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- A00980
- Practice address
- 2428 Dunmore CT
Frederick, MD 21702-2615 - Phone
- (919) 744-1861
- NPI assigned
- Dec 30, 2020
- 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 |
|---|---|---|---|---|
| Prevention Professional | 405300000X | A00980 | MD | Primary |
Addresses
Primary practice location
2428 Dunmore CT
Frederick, MD 21702-2615
Mailing address
2428 Dunmore CT
Frederick, MD 21702-2615
Phone (919) 744-1861
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 |
|---|---|---|---|
| A00980 | MD | MD | Prevention Professional |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1285221796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2428 DUNMORE CT",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217022615",
"telephone_number": "919-744-1861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2428 DUNMORE CT",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217022615",
"telephone_number": "919-744-1861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISH",
"first_name": "ALICIA",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-30",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "MD",
"license": "A00980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
- First Care Nursing Services, Inc.
- First Docs PC
- First Durable Medical Supply (Eznebs)
- First Steps ABA LLC
- Firstcall Health Services, Inc. (FirstCall)
- Fisher & Grandia, M.D., P.a. (Orthopaedic Specialists of Frederick)
- Alexandra Kathleen Fisher, NP
- Aubry Fisher, L.AC.
- Edward F Fisher, M.D.
- Heather Fisher, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.