MRS. DEENA MICHELLE FITZGERALD (NPI# 1528489994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528489994 |
| Entity Type | Individual |
| Full Name | MRS. DEENA MICHELLE FITZGERALD |
| Other Name | MRS. DEENA MICHELLE CLEVENGER |
| Credential | APRN |
| Practice Address |
3232 N Northhills Blvd Fayetteville AR 72703-4005 |
| Practice Telephone | 4795871700 |
| Practice Fax Number | 4795871366 |
| Mailing Telephone | 4795871700 |
| Mailing Fax Number | 4795871366 |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2019-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | S002278 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 420060605 | 05 | |
| AR | 218854758 | 05 | |
| OK | 200799670A | 05 |
| Street Address |
3232 N NORTHHILLS BLVD |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952372120 | J Thaddeus Beck | Internal Medicine | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2006-01-27 |
| 1053936047 | Olivia Harber | Genetic Counselor, MS | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2020-06-15 |
| 1114427549 | Susan L Ezell | Nurse Practitioner | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2018-02-12 |
| 1750811758 | Lauren Ballard | Registered Nurse | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2017-06-13 |
| 1619406949 | Bailie N Moore | Nurse Practitioner | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2017-06-09 |
| 1093181794 | Stephanie A Newman | Nurse Practitioner | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2015-08-17 |
| 1356726020 | Amber D Nguyen | Nurse Practitioner | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2015-07-23 |
| 1295113272 | Jillian Lorraine Graves | Nurse Practitioner | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2015-05-11 |
| 1295122315 | Mark William Pickhardt | Urology | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2015-04-16 |
| 1245631902 | Miriam Elaine Porter | Nurse Practitioner | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2014-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124266424 | Elaine Kazakis | Clinical Nurse Specialist | 4208 Medical Center Dr, Fayetteville, NY 13066-6642 | 2009-01-26 |
| 1164956199 | Lindsey R Sabatini | Clinical Nurse Specialist | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2017-04-17 |
| 1104361864 | Dawn Michelle Smedley | Clinical Nurse Specialist | 3211 N Northhills Blvd, Fayetteville, AR 72703-4007 | 2017-01-04 |
| 1134596125 | Jessica Marie Shepherd | Clinical Nurse Specialist | 3900 N Parkview Dr, Fayetteville, AR 72703-6398 | 2015-08-26 |
| 1235517152 | Felicia May | Clinical Nurse Specialist | 3336 N Futrall Dr, Fayetteville, AR 72703-4057 | 2015-05-12 |
| 1013324631 | Melanie Caitlin Haney | Clinical Nurse Specialist | 3232 N North Hills Blvd, Fayetteville, AR 72703-4005 | 2014-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710430582 | Jessica Erin Camp | Clinical Nurse Specialist | 3401 E Highland Dr, Jonesboro, AR 72401-6404 | 2016-07-28 |
| 1922411644 | Melba Barnes Cns Aprn Inc | Clinical Nurse Specialist | 31 La Granja Cir, Hot Springs Village, AR 71909-2652 | 2014-06-10 |
| 1649698978 | Ellen Marie Odell | Clinical Nurse Specialist | 4303 Lankford Ave, Springdale, AR 72762-5834 | 2014-04-03 |
| 1326222183 | Susan Kimbrell | Clinical Nurse Specialist | 593 Horsebarn Rd Ste 101, Rogers, AR 72758-8797 | 2007-12-28 |
| 1144836347 | Ashley Featherston | Clinical Nurse Specialist | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2020-09-22 |
| 1326656513 | Heather Porterfield | Clinical Nurse Specialist | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2020-07-14 |
| 1679117659 | Ryan Scott Anderson | Clinical Nurse Specialist | 4802 E Johnson Ave, Jonesboro, AR 72405-8413 | 2019-11-01 |
| 1679052559 | Aaron Baxter | Clinical Nurse Specialist | 550 Club Ln, Conway, AR 72034-3681 | 2018-08-10 |
| 1962947200 | Brennan Weeks | Clinical Nurse Specialist | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2016-12-22 |
| 1396193066 | Icarepro of Texas, Pa | Clinical Nurse Specialist | 8060 Counts Massie Rd, Maumelle, AR 72113-6657 | 2016-06-02 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
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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.