Quaron Fitzgerald, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126003715 Issued in VA

Practice address

812 N Iverson St Apt 104
Alexandria, VA 22304-6824

Phone

(804) 475-0889

NPI assigned

Sep 26, 2022

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

Other names 1

• Mr. Ron Fitzgerald Professional name

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": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1386367290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 N IVERSON ST APT 104",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223046824",
            "telephone_number": "804-475-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 N IVERSON ST APT 104",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223046824",
            "telephone_number": "804-475-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "QUARON",
        "name_prefix": "Mr.",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126003715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RON",
            "last_name": "FITZGERALD",
            "prefix": "MR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Cierra Ann Fisher, LPCA
• Leon Fisher
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• Lauren Fitchett
• Brianna Fitzgerald, RN
• Kevin Fitzpatrick, MD
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• Blake Flarida, NP
• Phyllis Ann Fleetwood, PT,MS,OCS
• Fleming Speech Therapy Services, Inc.

• Athletic Trainer in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.