Mary Anne Fitzgerald, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

218756 Issued in TX

Practice address

815 N Broadway Ave
Tyler, TX 75702-4507

Phone

(903) 535-0023

Fax

(903) 535-0052

NPI assigned

Aug 19, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013021757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2039",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757102039",
            "telephone_number": "903-535-0023",
            "fax_number": "903-535-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757024507",
            "telephone_number": "903-535-0023",
            "fax_number": "903-535-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "MARY",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "218756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENS",
            "identifier": "218756",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Fisher
• Lindsey Marie Fisher, D.C.
• John Fite
• Cynthia Fitzgerald
• Haley Nicole Fitzgerald, AGACNP
• Ashley Fitzpatrick
• Five Open Hearts Home Care Agency, Inc.
• Cole W Flanagan, M.D.
• Bethany Ann Flanders, D.D.S.
• Haley Renee Flanders, NP

• Women's Health Nurse Practitioner in Tyler, TX
• Providers in Tyler, TX by specialty
• Women's Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.