Individual provider Active NPI

Holly W Fitzgerald, LCSW

  • Specialist
  • Chapel Hill, NC
National Provider Identifier
1083697676
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
COO2252 Issued in NC
Practice address
213 Oxford Hills Dr
Chapel Hill, NC 27514-2131
Phone
(919) 942-4778
Fax
(919) 932-3007
NPI assigned
Nov 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X COO2252 NC Primary

Addresses

Primary practice location

213 Oxford Hills Dr
Chapel Hill, NC 27514-2131

Mailing address

213 Oxford Hills Dr
Chapel Hill, NC 27514-2131
Phone (919) 942-4778

Other identifiers 2

IdentifierTypeStateIssuer
32276OtherNCBCBS
6002883MedicaidNC

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

State licenses

LicenseStateTypeSpecialty
COO2252NCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Holly W Fitzgerald PastSince Jul 1, 2002 Accepting new patients
B & D Integrated Health Services Past Accepting new patients
Paradigm Health Services, 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1083697676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 OXFORD HILLS DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142131",
            "telephone_number": "919-942-4778",
            "fax_number": "919-338-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 OXFORD HILLS DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142131",
            "telephone_number": "919-942-4778",
            "fax_number": "919-932-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "HOLLY",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "COO2252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "32276",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002883",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.