Active NPI
Faye Fitzgerald, ARNP
- Family Nurse Practitioner
- Dover, NH
National Provider Identifier
1003872532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 028927-23-03
- Practice address
- 750 Central Ave
Suite O
Dover, NH 03820-3434 - Phone
- (603) 742-2263
- Fax
- (603) 740-7116
- NPI assigned
- Apr 24, 2006
- Last updated
- Mar 6, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 028927-23-03 | NH | Primary |
Addresses
Primary practice location
750 Central Ave
Suite O
Dover, NH 03820-3434
Mailing address
789 Central Ave
Dover, NH 03820-2526
Phone (603) 740-4478
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30341994 | Medicaid | NH | |
| 205534300 | Other | W/C-FEDERAL | |
| 4325110099 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appledore Medical Group Inc | Past | Accepting new patients | |
| Wentworth Douglass Physician Corporation | Past | Accepting new patients | |
| Appledore Medical Group, Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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-
- Diagnostic Radiology Physician
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- NPI 1295326494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204761600000",
"number": "1003872532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "789 CENTRAL AVE",
"city": "DOVER",
"state": "NH",
"postal_code": "038202526",
"telephone_number": "603-740-4478",
"fax_number": "603-740-2244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 CENTRAL AVE",
"address_2": "SUITE O",
"city": "DOVER",
"state": "NH",
"postal_code": "038203434",
"telephone_number": "603-742-2263",
"fax_number": "603-740-7116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "FAYE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-24",
"last_updated": "2008-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "028927-23-03",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30341994",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "W/C-FEDERAL",
"identifier": "205534300",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4325110099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.