STACY LYNN FITZGERALD (NPI# 1043652605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043652605 |
| Entity Type | Individual |
| Full Name | STACY LYNN FITZGERALD |
| Practice Address |
625 Massachusetts Avenue Cambridge MA 02139 |
| Mailing Address |
46 Gilbert St Watertown MA 02472 |
| Practice Telephone | 6174918157 |
| Mailing Telephone | 6173930041 |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2013-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH234714 | MA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730247719 | Stacy A Fitzgerald | Specialist/Technologist, Other | 4887 Wymosa St, Boise, ID 83703-4359 | 2006-12-04 |
| 1366526873 | Stacy Danae Fitzgerald | Massage Therapist | 508 Airport Rd, Suite I, Panama City, FL 32405-4030 | 2006-10-24 |
| 1437770765 | Stacy Marie Fitzgerald | Licensed Practical Nurse | 3113 E Washington Ave, Madison, WI 53704-4330 | 2020-04-28 |
| 1245459155 | Stacy L Fitzgerald | Audiologist | 1601 Clint Moore Rd, Suite 105, Boca Raton, FL 33487-2768 | 2007-04-25 |
| Street Address |
625 MASSACHUSETTS AVENUE |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316044 | Diane Greenleaf | Registered Nurse | Cha Windsor Clinic, 119 Windsor St, Cambridge, MA 02139 | 2019-09-26 |
| 1730738345 | Martin Bednar | Student in an Organized Health Care Education/Training Program | 350 Massachusetts Avenue, Cambridge, MA 02139 | 2019-09-06 |
| 1861050049 | Rebecca Marie Addison | Dietitian, Registered | 75 Auburn St, Cambridge, MA 02139 | 2019-06-03 |
| 1285103051 | Jenna Halloran | Social Worker | 929 Massaschusetts Ave, Cambridge, MA 02139 | 2018-11-21 |
| 1750859286 | Lisa Marie Keovongsa | Dietitian, Registered | 186 1/2 Hampshire St., Cambridge, MA 02139 | 2018-11-02 |
| 1245714237 | Eleanor Coffin | Occupational Therapist | 1483 Cambridge St, Cambridge, MA 02139 | 2018-09-17 |
| 1649758277 | Sariya Idriss | Social Worker | Cambridge Health Alliance, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
| 1538647151 | Ari Pehkonen | Social Worker | Cambridge Health Alliance, Cambridge Hospital, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
| 1972080893 | Esther Cazeau | Counselor | 237 Hampshire St., Cambridge, MA 02139 | 2018-07-24 |
| 1528596533 | Adam Liebling | Acupuncturist | 11 Fiske Pl., Cambridge, MA 02139 | 2017-06-03 |
| Find all providers in zip 02139 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046759 | Anna Lundberg | Pharmacist | 348 Franklin St Apt 4c, Cambridge, MA 02139-3163 | 2020-09-02 |
| 1710599436 | David Robert Podradchik | Pharmacist | 25 Carleton St # E23-196, Cambridge, MA 02142-1323 | 2020-08-24 |
| 1790339521 | Erica Liu | Pharmacist | 80 Fawcett St, Cambridge, MA 02138-1145 | 2019-07-30 |
| 1659727808 | William Andrew Kuebler | Pharmacist | 61690 Southgate Pkwy, Cambridge, OH 43725 | 2016-05-06 |
| 1629451059 | Emily Jane Hein | Pharmacist | 701 S Dellwood, Cambridge, MN 55008-1920 | 2015-07-02 |
| 1851731822 | Gabriella Maree Pugliese | Pharmacist | 822 Somerville Ave, Cambridge, MA 02140 | 2013-07-04 |
| 1316213325 | Victoria Liu | Pharmacist | 1035 Cambridge St Ste 232331, Cambridge, MA 02141-1057 | 2012-03-25 |
| 1114200821 | Chaicharn Luangkamthorn | Pharmacist | 211 Alewife Brook Pkwy, Cambridge, Cambridge, MA 02138-1101 | 2011-09-20 |
| 1134417306 | Alexandra Polito | Pharmacist | 1035 Cambridge St Ste 23, Cambridge, MA 02141-1154 | 2011-07-21 |
| 1134431646 | Gregory Alan Herman | Pharmacist | 133 Elm St # 1, Cambridge, MA 02139-1405 | 2010-07-13 |
| Find all providers in CAMBRIDGE | ||||
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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.