MRS. MARY G FITZGERALD (NPI# 1033224472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033224472 |
| Entity Type | Individual |
| Full Name | MRS. MARY G FITZGERALD |
| Credential | ANP |
| Practice Address |
6121 N Hanley Rd Berkeley MO 63134-2003 |
| Practice Telephone | 3146150600 |
| Practice Fax Number | 3146158303 |
| Mailing Telephone | 3146150600 |
| Mailing Fax Number | 3146158303 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2012-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
065417 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 425013323 | 05 |
| 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 |
| 1013021757 | Mary Anne Fitzgerald | Nurse Practitioner | 815 N Broadway Ave, Tyler, TX 75702-4507 | 2006-08-19 |
| 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 |
| Street Address |
6121 N HANLEY RD |
| City | BERKELEY |
| State | MO |
| Zip Code | 63134-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396366589 | Bernadette Sheffield | Occupational Therapist | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2020-04-29 |
| 1912544222 | Steven Robert Larosa | Social Worker | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2019-12-05 |
| 1801350723 | Lanora A Barman | Registered Nurse | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2019-01-24 |
| 1679047237 | Whitney Nelson | Prevention Professional | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2019-01-17 |
| 1699249201 | Lauren Pyatt | Prevention Professional | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2019-01-16 |
| 1235616301 | Ophelia Anderson | Prevention Professional | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2018-07-23 |
| 1730666017 | Joyce Theard | Prevention Professional | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2018-07-19 |
| 1518444892 | Emmanuel Eugene Mccarrell | Prevention Professional | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2018-07-19 |
| 1487162574 | Jennifer Diane Hopwood | Dietitian, Registered | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2018-01-11 |
| 1922538891 | Sarah Woods | Dietitian, Registered | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2017-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457873010 | Erica Wilkins | Home Health Aide | 8401 Alder Ave, Berkeley, MO 63134 | 2017-07-14 |
| 1083029540 | Express Scripts Specialty Distribution Services, Inc. | Pharmacy | 4700 North Hanley Road, Suite A, St. Louis, MO 63134 | 2014-06-24 |
| 1083024061 | Avertest, LLC | Clinic/Center | 4709 Laguardia Dr, Suite 100, Saint Louis, MO 63134 | 2014-04-30 |
| 1477765196 | Darren Cartwright | Dentist | 6065 Helen Avenue, St. Louis, MO 63134 | 2007-05-04 |
| 1679629703 | Baligh Ramzi Yehia | Internal Medicine | 4600 Edmundson Rd, Saint Louis, MO 63134 | 2007-01-25 |
| 1316017072 | Courier Healthcare Systems, Inc | Home Health | 4433 Woodson Rd., Suite 103, Woodson Terrace, MO 63134 | 2006-11-09 |
| 1467534826 | Express Scripts Specialty Distribution Services, Inc. | Pharmacy | 8931 Springdale Ave., Suite A, Saint Louis, MO 63134 | 2006-10-19 |
| 1346355385 | Jsh Group LLC | Durable Medical Equipment & Medical Supplies | 4441brown Road, St. Louis, MO 63134 | 2006-08-20 |
| 1235175241 | Select Physical Therapy of St Louis Limited Partnership | Clinic/Center | 8905 Airport Rd, Saint Louis, MO 63134 | 2006-06-20 |
| 1770005365 | Optimum Plus Home Healthcare | Home Health | 8401 Alder Ave, Berkeley, MO 63134-1307 | 2017-07-14 |
| Find all providers in zip 63134 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265854558 | Rebecca Spence | Nurse Practitioner | 620 Cragmont Ave, Berkeley, CA 94708-1343 | 2014-01-06 |
| 1598200503 | Hazel Hiroshima | Nurse Practitioner | 1650 Walnut St, Berkeley, CA 94709-1606 | 2016-12-29 |
| 1841665635 | Erin Shuster | Nurse Practitioner | 1178 San Pablo Ave, Berkeley, CA 94706-2245 | 2015-12-06 |
| 1528440807 | Omnia Salem | Nurse Practitioner | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2015-06-23 |
| 1386089449 | Kathleen Sarah O'hearn | Nurse Practitioner | 1744 Alcatraz Ave, Berkeley, CA 94703-2713 | 2013-05-02 |
| 1144575754 | Verdie Lee Thompson | Nurse Practitioner | 2908 Ellsworth St, Berkeley, CA 94705-1912 | 2012-07-19 |
| 1336466226 | Kun Lu | Nurse Practitioner | 1744 Alcatraz Ave, Berkeley, CA 94703-2713 | 2010-04-30 |
| 1144305970 | Carolyn Ann Conlin | Nurse Practitioner | 1178 San Pablo Ave, Berkeley, CA 94706-2245 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689203390 | Kathleen Rippe Dowd | Nurse Practitioner | 59 Pointer Ln, Saint Louis, MO 63124-2018 | 2020-04-04 |
| 1871126391 | Kelsey Lonergan | Nurse Practitioner | 10915 Three Court Dr, Saint Louis, MO 63123-5959 | 2020-02-13 |
| 1518599778 | Eva Maria Gallina | Nurse Practitioner | 4525 Mid Rivers Mall Dr Ste 110, Saint Peters, MO 63376-2820 | 2020-02-06 |
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1003383324 | Jennifer Marie Jacobi | Nurse Practitioner | 1 Childrens Pl Fl 12, Saint Louis, MO 63110-1002 | 2018-10-24 |
| 1902315609 | Regina Victoria Maloney | Nurse Practitioner | 851 E 5th St Ste 300, Washington, MO 63090-3130 | 2017-09-25 |
| 1093235368 | Sally Williams Ehrich | Nurse Practitioner | 1004 Carondelet Dr Ste 350, Kansas City, MO 64114-4801 | 2017-06-27 |
| 1366995789 | Shawn Danielle Neyens | Nurse Practitioner | 303 N Keene St Ste 404, Columbia, MO 65201-7193 | 2016-08-02 |
| 1114381563 | Kathleen B Shaughnessy | Nurse Practitioner | 9580 Watson Rd, Ste A, Saint Louis, MO 63126-1539 | 2016-04-12 |
| 1518327071 | Lauren Sommero | Nurse Practitioner | 1516 Bridge School Road, Rolla, MO 65401-8115 | 2016-02-26 |
| 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.