Individual provider Active NPI

Elizabeth Marie Fitzgibbon, FNP

  • General Practice Physician
  • Morristown, TN
National Provider Identifier
1164309233
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
39247 Issued in TN
Practice address
420 W Morris Blvd Ste 400B
Morristown, TN 37813-2282
Phone
(828) 283-1594
NPI assigned
Aug 19, 2025
Last updated
Jan 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 39247 TN Primary

Addresses

Primary practice location

420 W Morris Blvd Ste 400B
Morristown, TN 37813-2282

Mailing address

420 W Morris Blvd Ste 400B
Morristown, TN 37813-2282
Phone (828) 283-1594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251104003271 TN Practitioner - Nurse Practitioner 9335639897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthstar Physicians PCGroup PAC ID 5890690978, 89 clinicians

Practice addresses (Care Compare)

420 W Morris Blvd
Suite 400H
Morristown, TN 37813-2283
Phone (423) 586-4545

657 E Broadway Blvd
Suite a
Jefferson City, TN 37760-4949
Phone (865) 475-9062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39247TNMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstar Physicians, P.C. Multi-Specialty CurrentSince Oct 22, 2025 Accepting new patients
Healthstar Physicians PC Multi-Specialty CurrentSince Oct 22, 2025 Accepting new patients
East Tennessee Primary Care Associates Multi-Specialty Past Accepting new patients

Locations

420 W Morris Blvd
Ste 400B
Morristown, TN 37813
Phone (423) 254-0547

420 W Morris Blvd
Ste 400C
Morristown, TN 37813
Phone (423) 586-0443

Interoperability endpoints

  • Direct secure messaging: elizabeth.fitzgibbon.1@3525.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1164309233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W MORRIS BLVD STE 400B",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132282",
            "telephone_number": "828-283-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W MORRIS BLVD STE 400B",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132282",
            "telephone_number": "828-283-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGIBBON",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-19",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "39247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.