Jackie Lynn Fritz

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

003358 Issued in NY

Practice address

415 Edgecreek TRL
Rochester, NY 14609-1874

Phone

(585) 683-6595

NPI assigned

Feb 2, 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": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1922546563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 EDGECREEK TRL",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146091874",
            "telephone_number": "585-683-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 EDGECREEK TRL",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146091874",
            "telephone_number": "585-683-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZ",
        "first_name": "JACKIE",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "003358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Lynn Friga, LMSW
• Ruth Friga, LCSW
• Julie Alice Frisa, NURSE PRACTITIONER
• Carol Sandra Frisch, RN
• Lisa N Frisicano, DDS
• Autumn Froelich, MS
• Rachel Frohm, PA
• James M Fronckowiak, D.C.
• Lisa Nicole Fronczak, PA-C
• Emily Davis Fronk, MD

• Athletic Trainer in Rochester, NY
• Providers in Rochester, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.