Nancy Donovan Fitzpatrick

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

472520 Issued in NY

Practice address

44 E Cherry St
Central Islip, NY 11722-3862

Phone

(631) 348-5056

NPI assigned

May 8, 2012

Sex

Female

Sole proprietor

Yes

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": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1225397581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 EAST CHERRY STREET",
            "address_2": "MULVEY ELEMENTARY SCHOOL",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117223010",
            "telephone_number": "631-348-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 E CHERRY ST",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117223862",
            "telephone_number": "631-348-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "NANCY",
        "middle_name": "DONOVAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "472520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brenna Lela Forbes
• Scott E Forsmith, LCSW-R

• Registered Nurse in Central Islip, NY
• Providers in Central Islip, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.