Edward George Fitzgerald, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L005552 Issued in NC

Practice address

2501 Blue Ridge Rd Ste G130
Raleigh, NC 27607-6347

Phone

(919) 594-1885

NPI assigned

Sep 4, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Edward George Nickel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chain Effect

  • Registered Dietitian
  • Raleigh, NC
  • NPI 1568944643

  Dietitian, Registered

  NPD Authorized official
• Chain Effect Physical Therapy and Performance Enhancement

  • Registered Dietitian
  • Raleigh, NC
  • NPI 1912494220

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1255813580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 BLUE RIDGE RD STE G130",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076347",
            "telephone_number": "919-594-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 BLUE RIDGE RD STE G130",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076347",
            "telephone_number": "919-594-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "EDWARD",
        "middle_name": "GEORGE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L005552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWARD",
            "last_name": "NICKEL",
            "middle_name": "GEORGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erik Fister, LPTA
• Linda Otten Fitch, MS, RD, LDN
• Seth P Fitch
• Iesha Sophronia Fitts
• Amy Boiselle Fitzgerald, LCSW
• Eric Fitzgerald, MA, BCBA, LBA
• Jessie Lee Fitzgerald, LCSWA
• Kathryn Ann Fitzgerald, LCSW
• Kelly Maureen Fitzgerald, CRNA
• Kiara Fitzgerald

• Registered Dietitian in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.