Active NPI
Kelly A Fitzgibbons, DMD
- Dentist
- Nashua, NH
National Provider Identifier
1104954403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3471
- Practice address
- 2 Cellu Drive
Nashua, NH 03063 - Phone
- (603) 595-4200
- Fax
- (603) 689-7150
- NPI assigned
- Mar 1, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 3471 | NH | Primary |
Addresses
Primary practice location
2 Cellu Drive
Nashua, NH 03063
Mailing address
PO Box 316
Williamsville, NY 14231
Phone (713) 204-5838
Other names 1
- Ms. Kelly A Collins
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3471 | NH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104954403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 316",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "14231",
"telephone_number": "713-204-5838",
"fax_number": "716-632-2963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CELLU DRIVE",
"city": "NASHUA",
"state": "NH",
"postal_code": "03063",
"telephone_number": "603-595-4200",
"fax_number": "603-689-7150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGIBBONS",
"first_name": "KELLY",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NH",
"license": "3471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "COLLINS",
"middle_name": "A",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Nashua, NH
Sources for this page
- 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.