Individual provider Active NPI

Melissa Jean Humpal Fisher, MS, ATC

  • Athletic Trainer
  • Bozeman, MT
National Provider Identifier
1790773133
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
536 S Cottonwood Rd
Suite 100
Bozeman, MT 59718-9515
Phone
(406) 586-8029
NPI assigned
Oct 10, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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 Primary

Addresses

Primary practice location

536 S Cottonwood Rd
Suite 100
Bozeman, MT 59718-9515

Mailing address

14 W Clara CT
Bozeman, MT 59718-7687
Phone (406) 579-3695

Other names 1

  • Ms. Melissa Jean Fisher Professional name

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

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1790773133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 W CLARA CT",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187687",
            "telephone_number": "406-579-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 S COTTONWOOD RD",
            "address_2": "SUITE 100",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597189515",
            "telephone_number": "406-586-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPAL FISHER",
        "first_name": "MELISSA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "MS, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "FISHER",
            "middle_name": "JEAN",
            "prefix": "MS.",
            "credential": "MS, ATC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.

Verify at the official NPI Registry.