STACY A FITZGERALD (NPI# 1730247719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730247719 |
| Entity Type | Individual |
| Full Name | STACY A FITZGERALD |
| Credential | CST |
| Practice Address |
4887 Wymosa St Boise ID 83703-4359 |
| Mailing Address |
190 E Bannock St Boise ID 83712 |
| Practice Telephone | 2088907984 |
| Mailing Telephone | 2088907984 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2011-07-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043652605 | Stacy Lynn Fitzgerald | Pharmacist | 625 Massachusetts Avenue, Cambridge, MA 02139 | 2013-07-24 |
| 1366526873 | Stacy Danae Fitzgerald | Massage Therapist | 508 Airport Rd, Suite I, Panama City, FL 32405-4030 | 2006-10-24 |
| 1437770765 | Stacy Marie Fitzgerald | Licensed Practical Nurse | 3113 E Washington Ave, Madison, WI 53704-4330 | 2020-04-28 |
| 1245459155 | Stacy L Fitzgerald | Audiologist | 1601 Clint Moore Rd, Suite 105, Boca Raton, FL 33487-2768 | 2007-04-25 |
| Street Address |
4887 WYMOSA ST |
| City | BOISE |
| State | ID |
| Zip Code | 83703-4359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386203974 | Dylan Roy | Chiropractor | 5632 W State Street, Boise, ID 83703 | 2019-06-07 |
| 1124476858 | Tidwell Social Work Services and Consulting, Inc. | Community/Behavioral Health | 5999 W. State St., Boise, ID 83703 | 2016-06-03 |
| 1801251244 | Rebecca Lynn Cushing | Massage Therapist | 5909 W. State St, Boise, ID 83703 | 2015-12-30 |
| 1790181675 | Malinda Poe | Counselor | 4440 W Taft St, Boise, ID 83703 | 2014-11-05 |
| 1689079469 | Ashley Harker | Massage Therapist | 5909 W. State St., Boise, ID 83703 | 2014-10-23 |
| 1770987844 | Brick House Recovery | Counselor | 3663 N Lakeharbor Ln, Boise, ID 83703 | 2014-10-17 |
| 1033512538 | Ryan Warburton | Physical Therapist | 2999 N Lakeshore Lane, Ste 120, Boise, ID 83703 | 2014-09-29 |
| 1710386008 | Suzanne Iannaccone | Social Worker | 4090 W State St Ste 221, Boise, ID 83703 | 2014-08-22 |
| 1588092464 | Becky L. Marks | Social Worker | 3858 N. Garden Center Way, Suite 204, Boise, ID 83703 | 2013-10-31 |
| 1700219169 | Pohley Richey | Dietitian, Registered | 6052 W State Street, Boise, ID 83703 | 2013-08-20 |
| Find all providers in zip 83703 | ||||
| Taxonomy Code | 246ZS0410X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Technologist |
| Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
| Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871614404 | Lee Ann Hart | Specialist/Technologist, Other | 900 N Liberty St Ste 400, Boise, ID 83704-8707 | 2007-04-02 |
| 1578691036 | Kelli Jean Cornwall | Specialist/Technologist, Other | 6140 Curtisian Ave Ste 102, Boise, ID 83704-0109 | 2007-02-28 |
| 1770622946 | Nancy M Coonan | Specialist/Technologist, Other | 901 N Curtis Rd Ste 104, Boise, ID 83706-1339 | 2007-02-05 |
| 1811407299 | Amy Wood | Specialist/Technologist, Other | 900 N Liberty St Ste 400, Boise, ID 83704-8707 | 2017-10-11 |
| 1962851980 | Stephanie Victoria Perkins | Specialist/Technologist, Other | 222 N 2nd St, Boise, ID 83702-6109 | 2016-06-09 |
| 1720461759 | Tawnya M Moeller | Specialist/Technologist, Other | 901 N Curtis Rd, Ste 304, Boise, ID 83706-1338 | 2015-07-08 |
| 1932582954 | Sarah L Aguirre-kuester | Specialist/Technologist, Other | 901 N Curtis Rd, Ste 304, Boise, ID 83706-1338 | 2015-07-08 |
| 1245569888 | John E Nock | Specialist/Technologist, Other | 901 N Curtis Rd, Suite 501, Boise, ID 83706-1338 | 2009-12-10 |
| 1689806663 | Stephanie Lyssa Hope | Specialist/Technologist, Other | 1075 N Curtis Rd, Suite 300, Boise, ID 83706-1300 | 2009-08-10 |
| 1336371319 | Leslie Ann Stout | Specialist/Technologist, Other | 1075 N Curtis Rd, Suite 300, Boise, ID 83706-1300 | 2009-08-10 |
| Find all providers in BOISE | ||||
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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.