MARY ANNE FITZGERALD (NPI# 1013021757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013021757 |
| Entity Type | Individual |
| Full Name | MARY ANNE FITZGERALD |
| Credential | NP |
| Practice Address |
815 N Broadway Ave Tyler TX 75702-4507 |
| Mailing Address |
Po Box 2039 Tyler TX 75710-2039 |
| Practice Telephone | 9035350023 |
| Practice Fax Number | 9035350052 |
| Mailing Telephone | 9035350023 |
| Mailing Fax Number | 9035350052 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
218756 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | NURSE PRACTITIONER LICENS | 218756 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326427030 | Mary Fitzgerald | Counselor | 39 S Villa Ave, Villa Park, IL 60181-2650 | 2015-05-27 |
| 1124395306 | Mary Doris Fitzgerald | Counselor | 2130 Lawson Creek Rd, Douglas, AK 99824-5010 | 2011-11-16 |
| 1457537391 | Mary Denise Fitzgerald | Massage Therapist | 245 S Highland St, Suite 6, Mount Dora, FL 32757-5781 | 2008-01-10 |
| 1902000474 | Mary Fitzgerald | Social Worker | 5480 Wisconsin Ave Ste 225, Chevy Chase, MD 20815-3503 | 2007-06-11 |
| 1306963152 | Mary Brito Fitzgerald | Counselor | 316 Metacom Ave, Bristol, RI 02809-5105 | 2007-03-26 |
| 1114001971 | Mary W Fitzgerald | Social Worker | 5540 Tech Center Dr, Springs Counseling Center, #203, Colorado Springs, CO 80919-2331 | 2006-10-25 |
| 1245207083 | Mary P Fitzgerald | Obstetrics & Gynecology | 5500 S 5th Avenue, Bldg 1, Room 320, Hines, IL 60141 | 2006-03-01 |
| 1215908058 | Mary Trabue Fitzgerald | Audiologist | 3704 Sycamore Ln, Nashville, TN 37215-1914 | 2006-01-30 |
| 1386133478 | Mary Fitzgerald | Emergency Medicine | 22101 Moross Rd, Detroit, MI 48236 | 2018-05-04 |
| 1093193179 | Mary Fitzgerald | Residential Treatment Facility, Physical Disabilities | 4650 S Panther Creek Dr, The Woodlands, TX 77381-2764 | 2015-05-11 |
| Street Address |
815 N BROADWAY AVE |
| City | TYLER |
| State | TX |
| Zip Code | 75702-4507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
| 1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
| 1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
| 1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
| 1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
| 1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
| 1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
| Find all providers in zip 75702 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275533663 | Margaret Vidal-kutin | Nurse Practitioner | 928 N Glenwood Blvd, Tyler, TX 75702-5055 | 2005-07-28 |
| 1174969893 | Raissa Ameh | Nurse Practitioner | 649 S Broadway Ave, Ste. 2, Tyler, TX 75701-1677 | 2013-05-21 |
| 1720153224 | Larry S Hilton | Nurse Practitioner | 928 N Glenwood Blvd, Tyler, TX 75702-5055 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809074 | Christine Depardo | Nurse Practitioner | 6161 State Hwy 161 Fl 3, Irving, TX 75038-2220 | 2020-10-20 |
| 1457968232 | Brenda Lynn Franke | Nurse Practitioner | 1501 Creekside Dr, Richardson, TX 75081-2913 | 2020-09-25 |
| 1073127031 | Jennifer Barbosa | Nurse Practitioner | 6065 Sports Village Rd Ste 600, Frisco, TX 75033-3591 | 2020-09-06 |
| 1619594744 | Elm Midwifery and Womens Health LLC | Nurse Practitioner | 4458 Medical Dr Ste 470, San Antonio, TX 78229-3748 | 2020-07-06 |
| 1417571969 | Viviana S Navar | Nurse Practitioner | 1440 George Dieter Dr # A, El Paso, TX 79936-7601 | 2020-06-01 |
| 1457988461 | Sarah Elizabeth Higgins | Nurse Practitioner | 8060 Park Ln, Dallas, TX 75231-5912 | 2020-03-27 |
| 1235779760 | Tracy Woods | Nurse Practitioner | 5846 Piedmont Gln, San Antonio, TX 78249-4876 | 2020-01-13 |
| 1801436340 | Sarah Olivia Menotti | Nurse Practitioner | 3828 Hughes Ct Ste 104, Dickinson, TX 77539-6235 | 2020-01-13 |
| 1902457302 | Dalia Paul | Nurse Practitioner | Womankind Ob-gyn, 1200 Ridge Road, Suite 3, Mcallen, TX 78503 | 2019-09-26 |
| 1255982260 | Betty Philips | Nurse Practitioner | Womankind Ob-gyn, 1200 Ridge Rd, Suite 3, Mcallen, TX 78503 | 2019-09-23 |
| Find all providers with the same taxonomy | ||||
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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.