Charlene Fitzgerald

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN00054100 Issued in WA

Practice address

12801 144TH St E
Puyallup, WA 98374-3548

Phone

(253) 841-8603

NPI assigned

Jan 28, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1114265022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 ISAAC PINCUS ST",
            "city": "STEILACOOM",
            "state": "WA",
            "postal_code": "983882904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 144TH ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983743548",
            "telephone_number": "253-841-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "CHARLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WA",
            "license": "RN00054100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Wesley Fish, LPN
• Susan H Fish, PA-C
• Karisa Brook Fisher, LMP
• Roberta Fisher, LMP
• Charleen Fitzgerald
• Emily Rachelle Fitzgerald
• Diana Rose Lomallo Fitzpatrick
• Courtney Marie Fjellman, L.M.P.
• Karl Ole Fjellstad, PA
• Katie I Fjerstad, CO61274330

• School Registered Nurse in Puyallup, WA
• Providers in Puyallup, WA by specialty
• School Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.