Jacqueline Fitzgerald

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

209023965 Issued in IL

Practice address

1000 N Westmoreland Rd Ofc 3556
Lake Forest, IL 60045-1658

Phone

(224) 271-5643

NPI assigned

Apr 1, 2021

Last updated

Sep 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1144808882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 DENNY CT",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600081164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N WESTMORELAND RD OFC 3556",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451658",
            "telephone_number": "224-271-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "IL",
            "license": "209023965",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.384429",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Brent Farb, PSYD.
• Candice Slaters Felder, P.T
• Kathryn Fink
• Melissa Fisher, APRN, CNP
• Elizabeth Fishman, PSY.D.
• Meghan Fitzgerald, OTD, OTR/L
• Amy Fitzpatrick, CPNP
• Therese A. Flaker, P.T.
• Bridget Theresa Fleming, MSED, EDS, BCBA,CAGS
• Michelle Fleming, AGACNP-BC

• Clinical Nurse Specialist in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Clinical Nurse Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.