Active NPIIndividual provider

Bethany J Fitzgerald, ATC

Specialist/Technologist, Athletic Trainer in Addison, Vermont

NPI Number1316507973
Practice location
143 Grandview Ln, Addison, VT 05491-8407
Fax
—
Last updated
June 17, 2019

Bethany Jean Fitzgerald is a Specialist/Technologist, Athletic Trainer based in Addison, VT. Bethany Jean Fitzgerald practices in Addison, VT and has the professional credentials of ATC. The NPI Number for Bethany Jean Fitzgerald is 1316507973 and holds a License No. 2000036388 (VT). The current practice location address for Bethany Jean Fitzgerald is 143 Grandview Ln, Addison, VT 05491-8407 and can be reached out via phone at 802-309-7401.

Provider Profile Details

NPI Number
1316507973
Provider Name
Bethany Jean Fitzgerald
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
143 Grandview Ln, Addison, VT 05491-8407
Phone Number
802-309-7401
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
June 17, 2019
Last Update Date
June 17, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
143 Grandview Ln
Addison, VT 05491-8407
State
Vermont
Zip
05491-8407
Phone Number
802-309-7401
Addison, VT 05491Get directions →

Provider Business Mailing Address Details

Address
143 Grandview Ln
Addison, VT 05491-8407
City
Addison
State
VT
Zip
05491-8407

License Information

License Number
2000036388
License State
VT
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bethany J Fitzgerald, ATC?

The NPI number of Bethany J Fitzgerald, ATC is 1316507973. It was assigned on June 17, 2019 and is currently active in the NPPES registry.

What is the specialty of Bethany J Fitzgerald, ATC?

Bethany J Fitzgerald, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in VT under license number 2000036388.

Where does Bethany J Fitzgerald, ATC practice?

The practice location is 143 Grandview Ln, Addison, VT 05491-8407. The office can be reached at 802-309-7401 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316507973 directly on the NPPES registry website.

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