Shea Lynn Fisher, MAT, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT007570 Issued in PA

Practice address

9613 Lincoln Hwy Ste 107
Bedford, PA 15522-3748

Phone

(814) 623-1042

NPI assigned

Nov 13, 2017

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": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1356854319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 282",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155370282",
            "telephone_number": "717-816-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9613 LINCOLN HWY STE 107",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155223748",
            "telephone_number": "814-623-1042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 Westover Rd",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "172571016",
            "country_code": "US",
            "telephone_number": "717-816-6315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "SHEA",
        "middle_name": "LYNN",
        "credential": "MAT, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT007570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Ferguson, RN
• Sean Ferguson
• Justin Glenn Filer, MS
• First Choice Dialysis of Bedford LLC
• Molly J Fisher, D.C.
• Jennifer Eckenrode Fitzsimmons, CRNP
• Nancy Folk Folk, BSC
• Rebecca Foor, LBS
• Thomas Lee Foor, D.C.
• Kelly Nicole Ford, LCSW

• Athletic Trainer in Bedford, PA
• Providers in Bedford, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.