DEMARIS A FITZPATRICK (NPI# 1881782225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881782225 |
| Entity Type | Individual |
| Full Name | DEMARIS A FITZPATRICK |
| Credential | PA |
| Practice Address |
111 W 1st Street Velva ND 58790 |
| Mailing Address |
Po Box 5010 Minot ND 58702-5010 |
| Practice Telephone | 7013382066 |
| Practice Fax Number | 7013382048 |
| Mailing Telephone | 7018575650 |
| Mailing Fax Number | 7018575031 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PAC0160 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 11058 | 05 |
| Street Address |
111 W 1ST STREET |
| City | VELVA |
| State | ND |
| Zip Code | 58790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265700850 | Sara Jayne Klein | Chiropractor | 8 Hwy 52 E, Velva, ND 58790 | 2011-12-09 |
| 1376646315 | Velva Drug Company | Pharmacy | 16 N. Main St, Velva, ND 58790 | 2006-09-06 |
| 1639277056 | Bonnie Jean Thom | Pharmacist | 16 N Main, Velva, ND 58790-0010 | 2006-09-20 |
| 1013354018 | Kendra L Larsen | Nurse Practitioner | 111 W. 1st Street, Trinity Community Clinic-velva, Velva, ND 58790-0070 | 2013-05-30 |
| 1831288968 | Velva Ambulance Service Inc. | Ambulance | 105 1st Street West, Velva, ND 58790-0231 | 2006-10-12 |
| 1780817858 | Kim A Thorson | Nurse Practitioner | 111 1st St W, Velva, ND 58790-7018 | 2009-08-24 |
| 1821636093 | Tracy Krueger | Pharmacist | 16 Main St N, Velva, ND 58790-7303 | 2019-12-18 |
| 1588646277 | Souris Valley Care Center | Skilled Nursing Facility | 300 Main St S, Velva, ND 58790-7342 | 2005-11-17 |
| 1770873374 | Kelsey Ann Bowerman | Occupational Therapist | 300 Main St S, Velva, ND 58790-7342 | 2011-04-15 |
| 1679700595 | Rachelle Breann Duerre | Speech-Language Pathologist | 300 Main St S, Souris Valley Care Center, Velva, ND 58790-7342 | 2009-06-18 |
| Find all providers in zip 58790 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354005 | Jessica Lynn O'neal | Physician Assistant | 112 Roaming Rd Apt 1, Minot Afb, ND 58704-1221 | 2020-10-23 |
| 1710473764 | Larissa Ann Haug | Physician Assistant | 1200 Roberts Avenue Ne, Cooperstown, ND 58425-7101 | 2018-07-02 |
| 1205350279 | Jillian Clyburn | Physician Assistant | 5th Medical Group, Bldg #194, 10 Missile Ave, Minot Afb, ND 58704 | 2017-08-01 |
| 1477082097 | Britta Julson | Physician Assistant | 1312 Hwy 49 N Frontage Rd, Beulah, ND 58523 | 2017-06-07 |
| 1033665310 | Caitlyn R Cameron | Physician Assistant | 4110 51st Ave South, Fargo, ND 58104 | 2016-08-28 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1629449418 | Ashton Leigh Hedger | Physician Assistant | 1001 7th St. Ne - Altru Clinic/devils Lake, Devils Lake, ND 58301-2719 | 2015-10-19 |
| 1831430644 | Danielle Rae Anderson | Physician Assistant | 401 N 9th St # T, Bismarck, ND 58501-4530 | 2013-03-05 |
| 1174895833 | Kacie M Brown | Physician Assistant | 1113 Korina Ave Unit A, Grand Forks Afb, ND 58204-1378 | 2012-01-27 |
| 1306123435 | Jamelle Lelito | Physician Assistant | 310 N 9th St Ste 1, Bismarck, ND 58501-4515 | 2011-11-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DEMARIS A FITZPATRICK.
| 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.