VANESSA FITZGERALD (NPI# 1710353107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710353107 |
| Entity Type | Individual |
| Full Name | VANESSA FITZGERALD |
| Practice Address |
423 Brookway West Dr Lewisville NC 27023-7602 |
| Practice Telephone | 8286127883 |
| Mailing Telephone | 8286127883 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | NC | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538490404 | Vanessa Elaine Fitzgerald | Licensed Vocational Nurse | 2652 Wrenwood Ave, Clovis, CA 93611-8583 | 2010-01-16 |
| Street Address |
423 BROOKWAY WEST DR |
| City | LEWISVILLE |
| State | NC |
| Zip Code | 27023-7602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578106845 | Mary Margaret Johnson | Social Worker | 6614 Shallowford Rd. Suite 250, Lewisville, NC 27023 | 2019-10-19 |
| 1306127527 | Gohar Karami | Clinical Nurse Specialist | 200 Shallowford Reserve Dr #303, Lewisville, NC 27023 | 2011-09-01 |
| 1013107259 | Lewisville Optical Inc | Durable Medical Equipment & Medical Supplies | 6758 Shallowford Road, Lewisville, NC 27023 | 2007-07-25 |
| 1013112960 | Patrick Paul Welch | Counselor | 5041 Styers Ferry Rd, Lewisville, NC 27023 | 2007-06-20 |
| 1881736551 | Kathleen Diane Morin | Speech-Language Pathologist | 8800 Buckey Court, Lewisville, NC 27023 | 2007-02-12 |
| 1396836755 | Connie Lynn Marie Bigwood | Physical Therapist | 765 Manarda Circle, Lewisville, NC 27023 | 2006-09-28 |
| 1831272087 | Christopher Culley | Physician Assistant | 4622 Country Club Road, Suite 180, Winston-salem, NC 27023-3770 | 2006-10-23 |
| 1497103451 | Frank Barron | Counselor | 1035 Kensford Dr, Lewisville, NC 27023-7635 | 2016-06-01 |
| 1144324591 | Yuegang Chen | Physician Assistant | 1052 Feldspa Ln., Lewisville, NC 27023-7639 | 2006-09-07 |
| 1144772070 | Karen M Jarvis | Speech-Language Pathologist | 8800 Buckley Court, Lewisville, NC 27023-7745 | 2016-10-26 |
| Find all providers in zip 27023 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215572896 | Porsha Griffin | Peer Specialist | 809 Park Ave Ste F, Greensboro, NC 27405-7811 | 2019-11-07 |
| 1235787227 | Cecilia Davis Smith | Peer Specialist | 1022 S Main St., Lillington, NC 27546-2754 | 2019-09-03 |
| 1043876220 | Connie C Hargrove | Peer Specialist | 1161 Pinkney Rd Nw, Pikeville, NC 27863-8690 | 2019-05-14 |
| 1538633128 | Krystal Hocutt | Peer Specialist | 1027 Skyview Dr Lot 301, Raleigh, NC 27603-5313 | 2019-01-16 |
| 1902372691 | Amy Sue Wilson | Peer Specialist | 375 Sequoyah Trl # 268, Cherokee, NC 28719 | 2018-10-19 |
| 1063925774 | Pervis Nash | Peer Specialist | 4703 N Sharon Amity Rd Apt 2, Charlotte, NC 28205-4657 | 2017-11-16 |
| 1760919112 | Dana Watson White | Peer Specialist | 327 Holland Dr, Statesville, NC 28677-4168 | 2017-05-16 |
| 1619408713 | Vera Jacobs | Peer Specialist | 415 Princess Ann Dr, Durham, NC 27703-2518 | 2017-03-21 |
| 1003356940 | Donald Sawyer IIi | Peer Specialist | 1450 E 11th St, Winston Salem, NC 27101-3209 | 2017-02-25 |
| 1215395207 | Troy Allen Hunt | Peer Specialist | 4224 Glenlea Commons Dr, Charlotte, NC 28216-9519 | 2016-02-04 |
| Find all providers with the same taxonomy | ||||
| City | LEWISVILLE |
| Zip Code | 27023 |
Please comment or provide details below to improve the information on VANESSA FITZGERALD.
| 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.