Active NPI
Cassandra Michelle Fitzgerald, RN, QMHP-E
- Community Health Worker
- Fishersville, VA
National Provider Identifier
1235702424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 0734000435
- Practice address
- 25 Tinkling Spring Rd
Fishersville, VA 22939-2261 - Phone
- (540) 495-0690
- NPI assigned
- Jul 23, 2021
- Last updated
- Jul 23, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001174798 | VA | |
| Community Health Worker | 172V00000X | 0734000435 | VA | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
25 Tinkling Spring Rd
Fishersville, VA 22939-2261
Mailing address
25 Tinkling Spring Rd
Fishersville, VA 22939-2261
Phone (540) 495-0690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001174798 | VA | MD | Registered Nurse |
| 0734000435 | VA | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Journeys, LLC | Current | Accepting new patients |
Locations
25 Tinkling Spring Rd
Fishersville, VA 22939
Phone (540) 820-2888
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Fishersville, VA
- NPI 1750954251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1235702424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 TINKLING SPRING RD",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229392261",
"telephone_number": "540-495-0690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 TINKLING SPRING RD",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229392261",
"telephone_number": "540-495-0690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "CASSANDRA",
"middle_name": "MICHELLE",
"credential": "RN, QMHP-E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-23",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001174798",
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "VA",
"license": "0734000435",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fishersville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.