DEBRA BOYDSTON FITZGERALD (NPI# 1316273865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316273865 |
| Entity Type | Individual |
| Full Name | DEBRA BOYDSTON FITZGERALD |
| Credential | LPC |
| Practice Address |
5118 Park Avenue Suite 601 Memphis TN 38117-5714 |
| Practice Telephone | 9014899921 |
| Practice Fax Number | 9018815428 |
| Mailing Telephone | 9014899921 |
| Mailing Fax Number | 9018815428 |
| Enumeration Date | 2009-10-18 |
| Last Update Date | 2012-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC0000002502 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407013022 | Debra J Fitzgerald | Physical Therapy Assistant | 168 W Central St, Natick, MA 01760-4122 | 2008-05-21 |
| 1780615302 | Debra Sheryl Fitzgerald | Nurse Practitioner | 1204 Highway 60, Socorro, NM 87801-3914 | 2006-07-05 |
| Street Address |
5118 PARK AVENUE SUITE 601 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38117-5714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154980639 | Zup Medical Services, LLC | Clinic/Center | 4576 Poplar Avenue, Memphis, TN 38117 | 2019-06-10 |
| 1104386028 | Faith Christie Leigh Roby | Counselor | 4646 Poplar Ave Ste 510, Memphis, TN 38117 | 2019-03-25 |
| 1023511300 | Genita Lashonda Johnson-hammond | Specialist | 4565 Quince Rd, 1b, Memphis, TN 38117 | 2018-03-14 |
| 1023547494 | Rivka R Braverman | Licensed Practical Nurse | 5050 Sanderlin Avenue, Memphis, TN 38117 | 2017-06-08 |
| 1285002451 | Shauna Lomax | Physical Therapy Assistant | 258 Leonora Dr, Memphis, TN 38117 | 2015-09-04 |
| 1255735569 | Caring Hearts of The Mid South | In Home Supportive Care | 4646 Poplar, Suite 213b, Memphis, TN 38117 | 2014-10-15 |
| 1063821296 | Tomasz A Charowski | Dentist | 670 Colonial Rd Ste 3, Memphis, TN 38117 | 2014-08-13 |
| 1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
| 1447692264 | Dory Sellers | Dentist | 4515 Poplar Avenue, Suite 406, Memphis, TN 38117 | 2013-07-22 |
| 1366791808 | Amirio Jonte Armour | Pharmacist | 1760 Moriah Woods, Suite 2, Memphis, TN 38117 | 2012-08-30 |
| Find all providers in zip 38117 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748854 | Kristen Hoover | Counselor | 4515 Poplar Ave Ste 305, Memphis, TN 38117-7507 | 2020-10-26 |
| 1609473966 | Ashley N. Thomas | Counselor | 4189 Robert Everett Cv Apt 2, Memphis, TN 38111-7437 | 2020-10-08 |
| 1952918617 | Kate Mallory | Counselor | 240 Madison Ave Ste 601, Memphis, TN 38103-2770 | 2020-09-28 |
| 1174134597 | James Rogers | Counselor | 100 Ball Hall, Memphis, TN 38152-3502 | 2020-08-10 |
| 1952911455 | Brianna Amaba | Counselor | 3675 Alumni Ave, Memphis, TN 38152-0001 | 2020-08-09 |
| 1164032645 | Lauren Taylor Riddick | Counselor | 1957 Jefferson Ave, Memphis, TN 38104-2705 | 2020-08-09 |
| 1063022671 | Sedaria L Williams | Counselor | 1242 Woodbury St, Memphis, TN 38111-3944 | 2020-08-07 |
| 1437768264 | Rebecca Mclaurin Maddux | Counselor | 4937 William Arnold Rd, Memphis, TN 38117-4237 | 2020-07-28 |
| 1578181780 | Jacqueline Yvette Reid | Counselor | 2924 Walnut Grove Rd Ste 4, Memphis, TN 38111-2719 | 2020-07-14 |
| 1225653876 | Michelle Leigh Cooper | Counselor | 1255 Lynnfield St Ste 232, Memphis, TN 38119-5185 | 2020-06-09 |
| Find all providers in MEMPHIS | ||||
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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.