Active NPI
Holly Fisher, M.S., ATC
- Athletic Trainer
- Corvallis, OR
National Provider Identifier
1619399797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT-AT-10131081
- Practice address
- 1128 NE 2ND St Ste 201
Corvallis, OR 97330-6298 - Phone
- (541) 757-8100
- NPI assigned
- Jan 9, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT-AT-10131081 | OR | Primary |
Addresses
Primary practice location
1128 NE 2ND St Ste 201
Corvallis, OR 97330-6298
Mailing address
2645 SE 3Rd St
Corvallis, OR 97333-1640
Phone (503) 440-3060
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT-AT-10131081 | OR | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389225600000",
"number": "1619399797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2645 SE 3RD ST",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973331640",
"telephone_number": "503-440-3060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1128 NE 2ND ST STE 201",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973306298",
"telephone_number": "541-757-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "HOLLY",
"credential": "M.S., ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-09",
"last_updated": "2014-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OR",
"license": "AT-AT-10131081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.