Jacqueline Fisher, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT4506 Issued in TX

Practice address

2237 Woodcreek
Carrollton, TX 75006-1911

Phone

(469) 235-5684

NPI assigned

Nov 9, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1427561653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 WOODCREEK",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 WOODCREEK",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061911",
            "telephone_number": "469-235-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "JACQUELINE",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT4506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fifty50 Foods LP (Fifty50 Pharmacy)
• Kristina Renee Fimbres, PA-C
• First Lone Star Pharmacy Group II (Trinity Pharmacy)
• First Texas Hospice LLC
• First Texas Hospital Carrollton LLC
• Peyton Fisher, DPT
• Sarah Fitzer
• Michael Roland Germann Fitzsimmons, DC, MS
• Laura Fletcher
• Esther Sarai Flores, LICENSE SLP

• Athletic Trainer in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.