MISS GRACE FITZPATRICK (NPI# 1245782010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245782010 |
| Entity Type | Individual |
| Full Name | MISS GRACE FITZPATRICK |
| Credential | FNP-C |
| Practice Address |
9710 Patuxent Woods Dr Suite 200 Columbia MD 21046-1526 |
| Practice Telephone | 3015758080 |
| Mailing Telephone | 3015758080 |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R207909 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9710 PATUXENT WOODS DR SUITE 200 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21046-1526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346236775 | Melissa Aviva Clark | Family Medicine | 9710 Patuxent Woods Dr, Suite 200, Columbia, MD 21046-1526 | 2005-09-21 |
| 1144718792 | Premier Health Express and Advanced Diagnostics Inc | Clinic/Center | 9710 Patuxent Woods Dr, Columbia, MD 21046-1526 | 2018-04-30 |
| 1720520810 | Your Health Network | Clinic/Center | 9710 Patuxent Woods Dr, Suite 200, Columbia, MD 21046-1526 | 2016-11-07 |
| 1144673583 | Grace Rudatsikira | Social Worker | 9710 Patuxent Woods Dr, Suite 200, Columbia, MD 21046-1526 | 2016-07-21 |
| 1659769024 | Your Health Network, Inc. | Counselor | 9710 Patuxent Woods Dr, Suite 200, Columbia, MD 21046-1526 | 2015-01-07 |
| 1033517255 | Your Health Network, Inc. | Family Medicine | 9710 Patuxent Woods Dr, Suite 200, Columbia, MD 21046-1526 | 2014-12-22 |
| 1356771372 | Danielle Herrmann | Social Worker | 9710 Patuxent Woods Dr, Columbia, MD 21046-1526 | 2013-11-13 |
| 1619210960 | Amanda L Sollars | Family Medicine | 9710 Patuxent Woods Dr, Suite 200, Columbia, MD 21046-1526 | 2013-04-04 |
| 1497999775 | Adanma Ngozi Ndubuizu | Family Medicine | 9710 Patuxent Woods Dr, Suite 200, Columbia, MD 21046-1526 | 2009-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628821 | Shadiat Ogunsakin | Behavior Technician | 7060 Samuel Morse Dr., Ste 100, Columbia, MD 21046 | 2020-10-30 |
| 1659983211 | Courtney Danielle Henderson | Behavior Technician | 10015 Old Columbia Road, Suite B215, Columbia, MD 21046 | 2020-08-17 |
| 1477116218 | Corporate Sourcing Solutions, Inc. | Nurse's Aide | 6700 Alexander Bell Dr., Suite 200, Columbia, MD 21046 | 2019-04-17 |
| 1497230973 | Quality Dme, Inc. | Durable Medical Equipment & Medical Supplies | 9175 Guilford Road, Suite 308, Columbia, MD 21046 | 2018-10-01 |
| 1649792698 | Sharon Londeree | Nurse Practitioner | 9710 Patuxent Woods Dr Ste 200, Columbia, MD 21046 | 2017-07-12 |
| 1043740624 | Katherine Green | Counselor | 6950 Columbia Gateway Drive, Columbia, MD 21046 | 2017-06-15 |
| 1710417548 | Karen Trageser | Registered Nurse | 7055 Samuel Morse Drive Suite 200, Columbia, MD 21046 | 2017-06-14 |
| 1396282745 | Emma Mayne | Technician, Other | 7175 Columbia Gateway Dr A, Columbia, MD 21046 | 2017-01-24 |
| 1861944795 | Ameris | Home Health | 6711 Columbia Gateway Drive, Suite 475, Columbia, MD 21046 | 2016-10-26 |
| 1073063426 | Chandni Bhatia | Counselor | 10005 Old Columbia Road (suite L260), Columbia, MD 21046 | 2016-10-10 |
| Find all providers in zip 21046 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
| 1407454101 | Jason D Jones | Nurse Practitioner | 213 Austell Dr, Columbia, TN 38401-5531 | 2020-10-14 |
| 1316544315 | Rezvaneh Goodarzi | Nurse Practitioner | 8830 Tamar Dr Apt 301, Columbia, MD 21045-2962 | 2020-10-03 |
| 1316559255 | Lauren Olivia Lenauer | Nurse Practitioner | 1600 E Broadway # 300, Columbia, MO 65201-5844 | 2020-08-21 |
| 1285246272 | Lourdes Claire De Las Alas | Nurse Practitioner | 6005 Shepherd Sq, Columbia, MD 21044-3114 | 2020-08-20 |
| 1619587540 | Josey Abraham | Nurse Practitioner | 305 Aiken Hunt Cir, Columbia, SC 29223-8407 | 2020-08-05 |
| 1588274765 | Tomeka Nichole Jackson | Nurse Practitioner | 6156 Saint Andrews Rd Ste 208, Columbia, SC 29212-3147 | 2020-08-03 |
| 1528696762 | Mark Edward Merkel | Nurse Practitioner | 1040 N James M Campbell Blvd, Columbia, TN 38401-2756 | 2020-04-01 |
| 1306489265 | Andrew Leitch | Nurse Practitioner | 313 N Trenholm Rd, Columbia, SC 29206-3207 | 2019-10-23 |
| 1760033476 | Emily Smith | Nurse Practitioner | 157 Chinquapin Cir, Columbia, SC 29212-2902 | 2019-09-24 |
| Find all providers in COLUMBIA | ||||
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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.