KATHLEEN ANN ENRIQUEZ FITZGERALD (NPI# 1922440874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922440874 |
| Entity Type | Individual |
| Full Name | KATHLEEN ANN ENRIQUEZ FITZGERALD |
| Credential | M.D. |
| Practice Address |
1615 Delaware St Longview WA 98632-2367 |
| Mailing Address |
172 Hunt Club Dr Apt 3d Copley OH 44321-2716 |
| Practice Telephone | 3604142700 |
| Mailing Telephone | 3304194368 |
| Enumeration Date | 2013-07-20 |
| Last Update Date | 2019-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
MD60901485 | WA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | OH | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 172 Hunt Club Dr Apt 3d, Copley, OH 443212716 | 3304194368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043765415 | Kathleen Fitzgerald | Counselor | 43 New Scotland Ave # E302, Albany, NY 12208-3478 | 2016-08-16 |
| 1386010189 | Kathleen Marie Fitzgerald | Social Worker | 202 Connetquot Rd, Oakdale, NY 11769-2146 | 2015-08-15 |
| 1568841153 | Kathleen B Fitzgerald | Marriage & Family Therapist | 115 Godfrey Rd E, Weston, CT 06883-1403 | 2015-05-28 |
| 1053627240 | Kathleen Anne Fitzgerald | Case Manager/Care Coordinator | 3424 E 2nd St, Long Beach, CA 90803-5235 | 2010-08-25 |
| 1477794865 | Kathleen Louise Fitzgerald | Counselor | 1502 Nc Route 54, Suite 505, Durham, NC 27707-1534 | 2009-03-13 |
| 1871713297 | Kathleen Lynne Fitzgerald | Speech-Language Pathologist | 52 Brigham Street Suite 4, New Bedford, MA 02740 | 2007-04-26 |
| 1770630998 | Kathleen A Fitzgerald | Psychologist | 450 N Bedford Dr Ste 303a, Beverly Hills, CA 90210-4307 | 2007-01-03 |
| 1790791390 | Kathleen M Fitzgerald | Pediatrics | East Milton Pediatric Assoc, 464 Granite Avenue, Milton, MA 02186-5625 | 2006-08-01 |
| 1336145150 | Kathleen Jane Fitzgerald | Registered Nurse | 5729 Rt 13, Deruyter, NY 13052 | 2005-06-27 |
| 1619516481 | Kathleen Liberta Fitzgerald | Recreational Therapist Assistant | 113 Holland Ave, Albany, NY 12208-3410 | 2019-12-27 |
| Street Address |
1615 DELAWARE ST |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-2367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264252 | Lan N Pham | Internal Medicine | 1615 Delaware St, Longview, WA 98632-2367 | 2005-06-09 |
| 1629681127 | Cole Taylor Dawson | Pharmacist | 1615 Delaware St, Longview, WA 98632-2367 | 2020-08-25 |
| 1760008908 | Tanya Neely | Registered Nurse | 1615 Delaware St, Longview, WA 98632-2367 | 2020-06-23 |
| 1376167254 | Gareth John Penta | Nurse Practitioner | 1615 Delaware St, Longview, WA 98632-2367 | 2020-06-05 |
| 1982227013 | Crystal Ann Florek | Nurse Practitioner | 1615 Delaware St, Longview, WA 98632-2367 | 2020-05-22 |
| 1194356600 | Tiffany Terry | Nurse Practitioner | 1615 Delaware St, Longview, WA 98632-2367 | 2020-02-03 |
| 1285274167 | Jason Loren Whitney | Nurse Practitioner | 1615 Delaware St, Longview, WA 98632-2367 | 2020-01-08 |
| 1851857676 | Garrett Michael Alan Harrison | Case Manager/Care Coordinator | 1615 Delaware St, Longview, WA 98632-2367 | 2019-02-17 |
| 1184192189 | Katie Johnson | Clinical Nurse Specialist | 1615 Delaware St, Longview, WA 98632-2367 | 2018-11-07 |
| 1750864187 | Brina Rayne Moh | Physician Assistant | 1615 Delaware St, Longview, WA 98632-2367 | 2018-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912856 | Kayvan Kamali | Internal Medicine | 920 Judson Rd, Longview, TX 75601-5113 | 2005-06-17 |
| 1972894616 | Kristen Hibbs Erickstad | Internal Medicine | 709 Hollybrook Dr Ste 4500, Longview, TX 75605-2412 | 2011-04-28 |
| 1205026432 | Rheumatology Association of Longview, Pllc | Internal Medicine | 920 Judson Rd, Longview, TX 75601 | 2007-07-25 |
| 1417927401 | Nils Siegfried Erikson | Internal Medicine | 2101 W Loop 281, Longview, TX 75604-2506 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437410354 | Jeonghun Moon | Internal Medicine | 4033 Talbot Rd S Ste 440, Renton, WA 98055-5767 | 2012-06-06 |
| 1356571087 | Christopher C. Wright | Internal Medicine | 105 W 8th Ave Ste 6080, Spokane, WA 99204-2313 | 2009-07-15 |
| 1508094707 | Daniel Jaeung Kim | Internal Medicine | 11311 Bridgeport Way Sw Ste 100, Lakewood, WA 98499-3096 | 2009-06-25 |
| 1962623959 | Wayne J Wallis | Internal Medicine | 2339 Federal Ave E, Seattle, WA 98102-4031 | 2007-05-01 |
| 1639399546 | Robert Lee Johnson | Internal Medicine | 1735 W Sunn Fjord Ln, Apartment I-107, Bremerton, WA 98312-5327 | 2007-04-26 |
| 1093933491 | Western Washington Medical Group, Inc Ps | Internal Medicine | 1330 Rockefeller Ave Ste 330, Everett, WA 98201 | 2007-04-23 |
| 1750433546 | Lisa Vasanth | Internal Medicine | 700 Ne 87th Ave # 330, Vancouver, WA 98664-1913 | 2007-01-18 |
| 1225196215 | John Flint Dickson | Internal Medicine | 714 Bellevue Ave East, #401, Seatlle, WA 98102-5990 | 2006-12-04 |
| 1659445260 | Janice Gupta | Internal Medicine | 515 Minor Avneue, Seattle, WA 98104 | 2006-11-17 |
| 1336218171 | Philip J Mease | Internal Medicine | 1101 Madison St Ste 1000, Seattle, WA 98104-3556 | 2006-11-07 |
| 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.