KHADISHA FITZGERALD (NPI# 1457899361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457899361 |
| Entity Type | Individual |
| Full Name | KHADISHA FITZGERALD |
| Practice Address |
4624 Broadway New York NY 10040-2102 |
| Practice Telephone | 2125691044 |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
4624 BROADWAY |
| City | NEW YORK |
| State | NY |
| Zip Code | 10040-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912441825 | Cinthya Gabriela Lopez | Case Manager/Care Coordinator | 4624 Broadway, New York, NY 10040-2102 | 2016-12-12 |
| 1235776378 | Jailene Marie Diaz | Case Manager/Care Coordinator | 4624 Broadway, New York, NY 10040-2102 | 2019-12-09 |
| 1255975314 | Jennifer Leigh Jones | Specialist | 4624 Broadway, New York, NY 10040-2102 | 2019-11-01 |
| 1871136879 | Latasha A Brown | Specialist | 4624 Broadway, New York, NY 10040-2102 | 2019-10-22 |
| 1346808524 | Benjamin Suss | Student in an Organized Health Care Education/Training Program | 4624 Broadway, New York, NY 10040-2102 | 2019-06-03 |
| 1568924702 | Jennyfaith O Canilao | Occupational Therapy Assistant | 4624 Broadway, New York, NY 10040-2102 | 2019-04-05 |
| 1437610607 | Gabriel Dubow | Social Worker | 4624 Broadway, New York, NY 10040-2102 | 2019-03-28 |
| 1316404817 | Rose Creighton | Early Intervention Provider Agency | 4624 Broadway, New York, NY 10040-2102 | 2019-02-21 |
| 1932683844 | Cindy Heather Pitter | Specialist | 4624 Broadway, New York, NY 10040-2102 | 2018-09-18 |
| 1881176998 | Pamela Singh | Occupational Therapy Assistant | 4624 Broadway, New York, NY 10040-2102 | 2018-09-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922550854 | Dahina Tavarez | Social Worker | 607w 190th St Apt 2d, New York, NY 10040 | 2016-10-26 |
| 1518418011 | Andres M. Pereira M.d.p.c. | Family Medicine | 47 Sickles St Suite 1a, New York, NY 10040 | 2016-10-19 |
| 1003281692 | Sandra Feliz | Specialist | 34 Bogardus Place Apt 2a, New York, NY 10040 | 2015-12-08 |
| 1790179562 | G Home Companion Services, Inc. | In Home Supportive Care | 25 Nagle Ave Apt # 5a, New York, NY 10040 | 2015-03-19 |
| 1669810503 | Sandra I. Morban | Licensed Practical Nurse | 45 Thayer St. #5g, New York, NY 10040 | 2013-06-13 |
| 1679814248 | Zheng Zhou | Psychologist | 340 Cabrini Blvd, Apt 203, New York, NY 10040 | 2013-03-07 |
| 1710253323 | Miriam P Bacon | Physical Therapist | 12-18 Ellwood Street, New York, NY 10040 | 2012-03-28 |
| 1730455593 | Alyssa Marie Corr | Occupational Therapist | 1218 Ellwood Street, Ny, NY 10040 | 2012-03-27 |
| 1801160254 | Claire Gordon | Speech-Language Pathologist | 802 West 190 St., #2-g, New York, NY 10040 | 2012-03-02 |
| 1548542483 | Samuel Emerson Carlisle | Social Worker | 4530 Broadway 4e, New York, NY 10040 | 2011-09-16 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926030 | Giuliette A Pfeiffer | Case Manager/Care Coordinator | 3111 Broadway Apt 1e, New York, NY 10027-4605 | 2020-09-15 |
| 1134776032 | Kenia A De Jesus | Case Manager/Care Coordinator | 535 8th Ave 2nd Fl, New York, NY 10018-4332 | 2019-08-25 |
| 1780239517 | Tiffani Bishop | Case Manager/Care Coordinator | 1571 Lexington Ave, New York, NY 10029-6210 | 2019-08-08 |
| 1386203024 | Johanny Garcia | Case Manager/Care Coordinator | 460 W 149th St Apt 56, New York, NY 10031-3614 | 2019-06-06 |
| 1518429554 | Teresa Tejeda | Case Manager/Care Coordinator | 556 W 180th St Apt 5a, New York, NY 10033-5813 | 2019-04-01 |
| 1992266738 | Jeancarlos Mejia | Case Manager/Care Coordinator | 1653 Saint Nicholas Ave Apt 12e, New York, NY 10040-3013 | 2019-03-26 |
| 1578022646 | Cecile N. Johnson | Case Manager/Care Coordinator | 156 W 56th St Ste 803, New York, NY 10019-3938 | 2019-03-18 |
| 1700344561 | Ayushi Arora | Case Manager/Care Coordinator | 1571 Lexington Ave Apt 21, New York, NY 10029-6213 | 2019-03-11 |
| 1801350418 | Yarisa Garcia | Case Manager/Care Coordinator | 252 E 4th St Apt 6c, New York, NY 10009-7543 | 2019-01-28 |
| 1871060640 | Jose Jean Paul Miliano | Case Manager/Care Coordinator | 535 Eighth Avenue. 2nd Floor, New York, NY 10018 | 2018-10-30 |
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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.