Individual provider Active NPI

Tiffany Fiesler, ATC

  • Athletic Trainer
  • Prescott Valley, AZ
National Provider Identifier
1669073284
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
ATR-008956 Issued in AZ
Practice address
6051 N Rockland Dr Apt B
Prescott Valley, AZ 86314-3187
Phone
(520) 305-0494
NPI assigned
Nov 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X ATR-008956 AZ Primary

Addresses

Primary practice location

6051 N Rockland Dr Apt B
Prescott Valley, AZ 86314-3187

Mailing address

6051 N Rockland Dr Apt B
Prescott Valley, AZ 86314-3187

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fieslert@erau.edu

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

LicenseStateTypeSpecialty
ATR-008956AZMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1669073284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 N ROCKLAND DR APT B",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863143187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 N ROCKLAND DR APT B",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863143187",
            "telephone_number": "520-305-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIESLER",
        "first_name": "TIFFANY",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2023-11-27",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "ATR-008956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fieslert@erau.edu",
            "affiliation": "Y",
            "address_1": "3700 Willow Creek Rd",
            "city": "Prescott",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863013721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.