Lora Seraphin Fitzgerald, MA, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1651 W Rosedale St
Ste. 200
Ft Worth, TX 76104-7437

Phone

(817) 335-4316

Fax

(817) 336-2504

NPI assigned

Aug 14, 2006

Last updated

Sep 8, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1902819436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5524 LA BANDERA TRL",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761261843",
            "telephone_number": "337-212-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 W ROSEDALE ST",
            "address_2": "STE. 200",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761047437",
            "telephone_number": "817-335-4316",
            "fax_number": "817-336-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "LORA",
        "middle_name": "SERAPHIN",
        "credential": "MA, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATABOC",
            "identifier": "050202041",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fitte Enterprises, Inc. (CRD MedServices Pharmacy)
• Stacy Fitts, MA/CCC-SLP
• Stanley W Fitzer, DDS
• Emma Nichole Fitzgearld
• Christopher Danielle Fitzgerald, CNM
• Vivian A Fitzgerald, RN
• Amanda Fitzpatrick, PSYD
• Shawn R Fitzsimmons, MD
• Joseph Leon Fitzwater, MD
• Melissa Fitzwater, DDS

• Athletic Trainer in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.