MS. MARILYN FITZGERALD (NPI# 1912978347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912978347 |
| Entity Type | Individual |
| Full Name | MS. MARILYN FITZGERALD |
| Other Name | MS. MARILYN JOHNSTON |
| Credential | RN, CS, AP/MHCNS |
| Practice Address |
902 Edmond St Suite 203 Saint Joseph MO 64501-2702 |
| Practice Telephone | 8163644300 |
| Practice Fax Number | 8162798148 |
| Mailing Telephone | 8163644300 |
| Mailing Fax Number | 8162798148 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2011-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN089198 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 428517908 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164454021 | Marilyn E Fitzgerald | Nurse Practitioner | 290 St. Charles Way, York, PA 17402 | 2006-07-07 |
| Street Address |
902 EDMOND ST SUITE 203 |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64501-2702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255331005 | Samaritan Counseling Center Inc. | Psychologist | 902 Edmond St, Ste 203, Saint Joseph, MO 64501-2702 | 2005-07-22 |
| 1639418262 | Laura Willoughby | Registered Nurse | 902 Edmond St, Suite 203, Saint Joseph, MO 64501-2749 | 2013-02-01 |
| 1104122035 | Laura J Moore | Social Worker | 902 Edmond St, Suite 204, Saint Joseph, MO 64501-2749 | 2011-02-10 |
| 1104145572 | Sami S Yerganian | Nurse Practitioner | 902 Edmond St, Suite 203, Saint Joseph, MO 64501-2749 | 2010-05-25 |
| 1245485523 | Susan L. Shuman | Psychologist | 902 Edmond St, Suite 203, Saint Joseph, MO 64501-2749 | 2008-12-01 |
| 1952522633 | Deborah Joyce Fannon | Counselor | 902 Edmond St, Suite 204, Saint Joseph, MO 64501-2702 | 2007-05-01 |
| 1205054996 | Carol Ann Weipert | Social Worker | 902 Edmond St, Suite 204, Saint Joseph, MO 64501-2702 | 2007-04-20 |
| 1063637064 | Monica L Campbell | Social Worker | 902 Edmond St, Suite 203, Saint Joseph, MO 64501-2702 | 2007-04-16 |
| 1598771081 | Kaynoosh Partamian | Psychologist | 902 Edmond St, Suite 203, Saint Joseph, MO 64501-2702 | 2006-08-01 |
| 1588698948 | James J Jura | Internal Medicine | 902 Edmond St, Suite 203, Saint Joseph, MO 64501-2749 | 2006-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023359114 | B-in Motion Chiropractic, Inc | Chiropractor | 2202 Locust, St Joseph, MO 64501 | 2013-03-14 |
| 1801019518 | Dian R Banks | Counselor | 902 Edmond, Suite 204, St Joseph, MO 64501 | 2007-04-11 |
| 1750324745 | Family Guidance Center | Case Management | 510 Francis, Suite 200, Saint Joseph, MO 64501 | 2006-06-14 |
| 1932188919 | Matthew Robert Noyce | Dentist | 400 Jules St, Suite 440, St Joseph, MO 64501 | 2006-01-10 |
| 1629088398 | Roy Ronold Rubnke | Psychologist | 510 Francis, Ste 200, St Joseph, MO 64501 | 2006-08-08 |
| 1871514414 | William G Brown | Psychologist | 510 Francis, Ste 200, St Joseph, MO 64501 | 2006-07-21 |
| 1417978123 | Dan S Frydman | Social Worker | 510 Francis, Suite 200, St Jospeh, MO 64501 | 2006-07-21 |
| 1679590442 | Jennifer Ann Burhoop | Counselor | 510 Francis, Ste 200, St Joseph, MO 64501 | 2006-07-16 |
| 1932135787 | Luis H Schwarz | Psychiatry & Neurology | 510 Francis, Suite 200, Saint Joseph, MO 64501 | 2006-06-23 |
| 1356336804 | Chateau Place Inc | Nursing Facility/Intermediate Care Facility | 811 N 9th St, Saint Joseph, MO 64501-1651 | 2005-09-12 |
| Find all providers in zip 64501 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245487263 | Nancy Streng | Nurse Practitioner | 9213 Narcissus Rd, Saint Joseph, MN 56374-9655 | 2008-08-21 |
| 1003452889 | Kevin Baer | Nurse Practitioner | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2019-11-27 |
| 1689236218 | Brittany Jean Adams | Nurse Practitioner | 724 N 22nd St, Saint Joseph, MO 64506-2604 | 2019-07-03 |
| 1598156416 | Daniel Bench | Nurse Practitioner | 3505 Frederick Ave, Saint Joseph, MO 64506-2914 | 2015-02-13 |
| 1003240607 | Susan Lee Kirkle | Nurse Practitioner | 724 N 22nd St, Saint Joseph, MO 64506-2604 | 2013-08-30 |
| 1104145572 | Sami S Yerganian | Nurse Practitioner | 902 Edmond St, Suite 203, Saint Joseph, MO 64501-2749 | 2010-05-25 |
| 1851420046 | James L Current | Nurse Practitioner | 2303 Village Dr, Saint Joseph, MO 64506-4954 | 2007-03-05 |
| 1104848530 | Suzan C Robarge | Nurse Practitioner | 1030 Miners Rd, Saint Joseph, MI 49085-9625 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1376152546 | Chijioke Francisca Mbah | Nurse Practitioner | 900 Sw 33rd St, Lees Summit, MO 64082-4191 | 2020-07-23 |
| 1740807825 | Aldijana Sacic | Nurse Practitioner | 8525 Glenwood Dr, Saint Louis, MO 63126-1849 | 2020-07-06 |
| 1639796766 | Courtney Paige Schult | Nurse Practitioner | 431 Stonewater Dr, Pevely, MO 63070-3210 | 2020-07-06 |
| 1912524059 | Farah Lynn Shaddix | Nurse Practitioner | 1103 Warm Winds Dr, O Fallon, MO 63366-6327 | 2020-07-05 |
| 1669097119 | Melanie Nicole Beckham | Nurse Practitioner | 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 | 2020-06-10 |
| 1215551973 | Nicole Lynn Parker | Nurse Practitioner | 1000 Jackson St Apt 1, Saint Charles, MO 63301-2676 | 2020-05-28 |
| 1386273217 | Andrea Morrow Wright | Nurse Practitioner | 8833 N Congress Ave Apt 813, Kansas City, MO 64153-1991 | 2020-04-03 |
| 1700413580 | Solange-belle Boma | Nurse Practitioner | 6326 Ne 44th St, Kansas City, MO 64117-1687 | 2020-03-24 |
| 1063044626 | Beatriz Fortaleza | Nurse Practitioner | 2305 South 65 Highway, Bldg A., Marshall, MO 65340-3702 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
| City | SAINT JOSEPH |
| Zip Code | 64501 |
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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.