Teresa Michele Fitzpatrick, COSMETOLOGIST

Primary specialty

SpecialistTaxonomy code 174400000X

License

BC20705312 Issued in IN

Practice address

815 S Penn St
Muncie, IN 47302-2559

Phone

(765) 372-8072

NPI assigned

Mar 15, 2022

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

Practice roles

Locations

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.

• Hair Life Studio LLC

  • Durable Medical Equipment & Medical Supplies
  • Muncie, IN
  • NPI 1356091037
  NPD Authorized official

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1134877467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S PENN ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473022559",
            "telephone_number": "765-372-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S PENN ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473022559",
            "telephone_number": "765-372-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "TERESA",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "COSMETOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "BC20705312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly M Finke, MSW
• Kelly Marie Fischer, M.A., L.M.H.C.
• Robert Barron Fischer, PHD HSPP
• Madelynn Fisher
• William B Fisher, MD
• Andrew Thomas Flack, MD
• Chandra Kathryn Flack, MD
• Victoria Flagg
• Nikki Lyn Flaming, PTA
• Hannah Elizabeth Fleming

• Specialist in Muncie, IN
• Providers in Muncie, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.