Active NPI
Emily Fitch, D.O.
- Family Medicine Physician
- Norfolk, VA
National Provider Identifier
1164873931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0102205070
- Practice address
- 1721 Admiral Taussig Blvd
Norfolk, VA 23511-2802 - Phone
- (612) 382-0916
- NPI assigned
- Jun 23, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 0102205070 | VA | Primary |
Addresses
Primary practice location
1721 Admiral Taussig Blvd
Norfolk, VA 23511-2802
Mailing address
1936 Beechwood Rd
Chesapeake, VA 23323-5324
Phone (612) 382-0916
Other practice location 1
200 Mercy Circle
Naval Hospital Camp Pendleton Box 555191
Camp Pendleton, CA 92055
Phone (760) 719-3675
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180717002778 | VA | Order and Referring Only - Family Practice | 3274880620 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102205070 | VA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612483200000",
"number": "1164873931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1936 BEECHWOOD RD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233235324",
"telephone_number": "612-382-0916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 ADMIRAL TAUSSIG BLVD",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235112802",
"telephone_number": "612-382-0916"
}
],
"practiceLocations": [
{
"address_1": "200 Mercy Circle",
"address_2": "Naval Hospital Camp Pendleton Box 555191",
"address_purpose": "LOCATION",
"city": "Camp Pendleton",
"state": "CA",
"postal_code": "92055",
"country_code": "US",
"telephone_number": "760-719-3675",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FITCH",
"first_name": "EMILY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-23",
"last_updated": "2021-02-05",
"certification_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0102205070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.