MS. NAN ISABEL FITZ GERALD (NPI# 1619481744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619481744 |
Entity Type | Individual |
Full Name | MS. NAN ISABEL FITZ GERALD |
Other Name | MS. NAN I. FITZ GERALD |
Credential | RN CDE |
Practice Address |
1040 Nw 22nd Ave Ste 540 Portland OR 97210-3097 |
Practice Telephone | 5034136077 |
Practice Fax Number | 5034136888 |
Mailing Telephone | 5034136077 |
Mailing Fax Number | 5034136888 |
Enumeration Date | 2017-11-28 |
Last Update Date | 2017-11-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
087006811RN | OR | Nursing Service Providers |
Street Address |
1040 NW 22ND AVE STE 540 |
City | PORTLAND |
State | OR |
Zip Code | 97210-3097 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
Find all providers in zip 97210 |
Taxonomy Code | 163WD0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Diabetes Educator |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386132033 | Shelly-anne Marie Baker | Registered Nurse | 4065 N Alaska St, Portland, OR 97203-2001 | 2018-04-27 |
1225558026 | Lolis Rocha | Registered Nurse | 3181 Sw Sam Jackson Park Rd # Ppv05, Portland, OR 97239-3011 | 2017-06-22 |
1811454432 | Matthew James Luttrell | Registered Nurse | 501 N Graham St, Portland, OR 97227-1654 | 2019-03-01 |
1053808287 | Patricia (trish) Ann Kirchhoff | Registered Nurse | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2018-04-13 |
1871975086 | Jessica Lori Lowery | Registered Nurse | 501 N Graham Street, Suite 375, Portland, OR 97227 | 2015-06-24 |
1154644565 | N Denise Hudson | Registered Nurse | 2800 N Vancouver Ave, Suite 231, Portland, OR 97227-1630 | 2010-03-12 |
1508189317 | Holly Jean Cornwell | Registered Nurse | 501 N Graham St, Suite 375, Portland, OR 97227-1654 | 2010-03-08 |
1235452152 | Jason R Swenberger | Registered Nurse | 501 N Graham St, Suite 375, Portland, OR 97227-1654 | 2010-03-05 |
1932438066 | Sara Beth Hohn | Registered Nurse | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2009-12-21 |
1003059882 | Nanis Gilmore | Registered Nurse | 541 Ne 20th Ave, Suite 210, Portland, OR 97232-2862 | 2009-04-09 |
Find all providers in PORTLAND |
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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.