DEBRA SHERYL FITZGERALD (NPI# 1780615302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780615302 |
| Entity Type | Individual |
| Full Name | DEBRA SHERYL FITZGERALD |
| Other Name | DEB FITZGERALD |
| Credential | NP |
| Practice Address |
1204 Highway 60 Socorro NM 87801-3914 |
| Practice Telephone | 5758382367 |
| Practice Fax Number | 5758384689 |
| Mailing Telephone | 5758382367 |
| Mailing Fax Number | 5758384689 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2011-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | R 102455-1 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
CNP-01634 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R 102455-1 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316273865 | Debra Boydston Fitzgerald | Counselor | 5118 Park Avenue, Suite 601, Memphis, TN 38117-5714 | 2009-10-18 |
| 1407013022 | Debra J Fitzgerald | Physical Therapy Assistant | 168 W Central St, Natick, MA 01760-4122 | 2008-05-21 |
| Street Address |
1204 HIGHWAY 60 |
| City | SOCORRO |
| State | NM |
| Zip Code | 87801-3914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447251400 | Norman John Reid | Family Medicine | 1204 Highway 60, Socorro, NM 87801-3914 | 2005-08-02 |
| 1376987461 | Melissa D Edmondson | Physical Therapist | 1204 Highway 60, Socorro, NM 87801-3914 | 2013-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763059 | Kyra J Saavedra | Physical Therapist | 1200 Michigan St. Socorro High School, Socorro, NM 87801 | 2020-09-01 |
| 1982255634 | Cornerstone Christian Counseling | Community/Behavioral Health | 1894 Chaparal Loop, Socorro, NM 87801 | 2019-09-24 |
| 1093282022 | Lindsay Alice Mclaughlin | Nurse Practitioner | 1204 Us-60, Building D, Socorro, NM 87801 | 2018-10-29 |
| 1003274309 | Fresenius Medical Care Sandhill, LLC | Clinic/Center | 1306 Enterprise Rd., Socorro, NM 87801 | 2016-02-02 |
| 1114391273 | Jessica Braswell I | Counselor | 1200 Us-60, Soorro, NM 87801 | 2015-11-30 |
| 1700207537 | Megan Therese Weber | Specialist/Technologist | 1115 N California St., Socorro, NM 87801 | 2013-12-20 |
| 1376892190 | Berta Alicia Portillo | Massage Therapist | 313 Hilltop, Socorro, NM 87801 | 2012-09-07 |
| 1215284146 | Presbyterian Medical Services | Clinic/Center | 1200 Michigan Street, Socorro, NM 87801 | 2012-08-09 |
| 1164541272 | Caring Dental Center PC | Dentist | 824 Highway 60, Socorro, NM 87801 | 2007-03-28 |
| 1578604039 | Jose Delfin Herrera Jr. | Occupational Therapy Assistant | 1115 N California Street, Socorro, NM 87801 | 2007-02-09 |
| Find all providers in zip 87801 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960153 | Renea M Reano | Nurse Practitioner | 4701 Irving Blvd Nw Apt 508, Albuquerque, NM 87114-3906 | 2020-10-23 |
| 1104433952 | Joli Ann Martinez | Nurse Practitioner | 2028 Coba Rd Se, Rio Rancho, NM 87124-8913 | 2020-09-25 |
| 1124642772 | Little Steps Pediatrics LLC | Nurse Practitioner | 1990 E Lohman Ave Ste A, Las Cruces, NM 88001-3117 | 2020-05-29 |
| 1558865980 | Kirsten Shelby Guerra | Nurse Practitioner | 4401 E. Lohman Ave ., Suite A, Las Cruces, NM 88011 | 2018-03-21 |
| 1225552094 | Sacheen Diahn Naddy | Nurse Practitioner | 8650 Alameda Blvd Ne # 101, Albuquerque, NM 87122-3791 | 2017-08-02 |
| 1336661958 | Camille Caroline Walker | Nurse Practitioner | 437 Loma Linda Loop Ne, Rio Rancho, NM 87124-4717 | 2017-07-14 |
| 1700242112 | Gustavo Gutierrez | Nurse Practitioner | 800 S County Line Dr, Chaparral, NM 88081 | 2016-01-14 |
| 1689040461 | Elizabeth Rodgers | Nurse Practitioner | 700 Lomas Blvd Ne, 3 Woodward Center, Albuquerque, NM 87102 | 2015-08-17 |
| 1891026563 | Lori Myers | Nurse Practitioner | 1721 Rio Rancho Blvd. Nw, Rio Rancho, NM 87124 | 2010-01-20 |
| 1972833523 | Deborah J Angeles | Nurse Practitioner | 27th Special Operations Medical Group, 224 W Dl Ingram Ave, Cannon Afb, NM 88103-5103 | 2010-01-04 |
| Find all providers with the same taxonomy | ||||
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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.