MRS. KIMBERLY ANN FISCUS (NPI# 1598725293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598725293 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY ANN FISCUS |
| Credential | ATC |
| Practice Address |
14415 Saint Germain Dr Centreville VA 20121-2223 |
| Mailing Address |
914 Overlook Pl Altoona PA 16602-6942 |
| Practice Telephone | 7032661897 |
| Mailing Telephone | 8143816426 |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0126000047 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992872592 | Kimberly D. Fiscus | Nurse Practitioner | 1630 Se 18th Street, Ocala, FL 34471 | 2006-11-29 |
| Street Address |
14415 SAINT GERMAIN DR |
| City | CENTREVILLE |
| State | VA |
| Zip Code | 20121-2223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356906994 | Everyone Inc. | Durable Medical Equipment & Medical Supplies | 6362 James Harris Way, Centreville, VA 20121 | 2019-05-09 |
| 1154845139 | Dien Tu | Pharmacist | 6321 Powder Flask Ct., Centreville, VA 20121 | 2017-08-01 |
| 1053865337 | Chungkang Pharmacy, LLC | Pharmacy | 14637 Lee Highway, #109b, Centreville, VA 20121 | 2016-08-04 |
| 1265829808 | Trisha Yamamoto | Chiropractor | 14215 E. Centreville Square, Centreville, VA 20121 | 2015-04-21 |
| 1811305733 | Catherine Elizabeth Sims, LLC | Clinic/Center | 6705 Bay Valley Lane, Centreville, VA 20121 | 2014-07-23 |
| 1194138438 | All In A Day Senior Care Services.com | Home Health | 6913 Confederate Ridge Lane, Centerville, VA 20121 | 2014-06-04 |
| 1447519483 | James Hamilton | Occupational Therapy Assistant | 6220 William Mosby Dr, Centreville, VA 20121 | 2012-05-11 |
| 1609158674 | Rena Thuman | Dentist | 14245-f Centreville Square, Centreville, VA 20121 | 2011-09-15 |
| 1134426372 | One Stop Pharmacy Inc | Pharmacy | 13818-b Braddock Rd, Centreville, VA 20121 | 2011-02-24 |
| 1225267495 | Michael Andrew Hartman | Family Medicine | 6201 Centerville Rd, # 100, Centreville, VA 20121 | 2009-07-09 |
| Find all providers in zip 20121 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033624960 | Kara Tribbie | Specialist/Technologist | 5202 Ellicott Ct, Centreville, VA 20120-1726 | 2017-12-14 |
| 1245782556 | Melanie Rae Luck | Specialist/Technologist | 14311 Compton Village Dr, Centreville, VA 20121-5702 | 2016-11-03 |
| 1881089084 | Michelle Katherine Priddy | Specialist/Technologist | 125 Ruthsburg Rd., Centreville, MD 21617 | 2015-04-03 |
| 1194366765 | Nick Opolski | Specialist/Technologist | 405 Belcher St, Centreville, AL 35042-2946 | 2019-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335487 | Sukyoon Chang | Specialist/Technologist | 6001 Grove Ave, Richmond, VA 23226-2603 | 2020-10-28 |
| 1912507302 | Madeline Joanna Bills | Specialist/Technologist | 308 Locust Grove Dr, Purcellville, VA 20132-3391 | 2020-10-27 |
| 1679171193 | Camden Oakes Bentley | Specialist/Technologist | 634 Treys Dr, Winchester, VA 22601-3230 | 2020-10-16 |
| 1932707437 | Madison Dobscha | Specialist/Technologist | 1706 Revere Ct Ne, Leesburg, VA 20176-6634 | 2020-10-15 |
| 1710584792 | Melvin Enderes | Specialist/Technologist | 42678 Frontier Dr, Brambleton, VA 20148-7207 | 2020-10-02 |
| 1285249755 | Amy Virostek | Specialist/Technologist | 1015 Heathercroft Cir Ste 200, Crozet, VA 22932-3370 | 2020-09-11 |
| 1255942264 | Xavier Thompson | Specialist/Technologist | 210 Emmet St S Rm 222, Charlottesville, VA 22903-2455 | 2020-08-13 |
| 1225647969 | Madison Polk | Specialist/Technologist | 9229 Arnie Ct, Manassas Park, VA 20111-3071 | 2020-07-29 |
| 1760090955 | Alymaris O'reilly | Specialist/Technologist | 5211 Duncan Trl, Reva, VA 22735-2016 | 2020-07-14 |
| 1740808377 | Aimee Gardanier | Specialist/Technologist | 2526 24th St N Lowr Unit, Arlington, VA 22207-4907 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | CENTREVILLE |
| Zip Code | 20121 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.