Individual provider Active NPI

Laura A Fitzpatrick, NP

  • Nurse Practitioner
  • Sagamore Hills, OH
National Provider Identifier
1295839355
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP10002 Issued in OH
Practice address
7689 Sagamore Hills Blvd
Sagamore Hills, OH 44067-2960
Phone
(330) 467-8101
Fax
(330) 468-3948
NPI assigned
Sep 11, 2006
Last updated
Nov 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 333617 NY
Nurse Practitioner 363L00000X NP10002 OH Primary

Addresses

Primary practice location

7689 Sagamore Hills Blvd
Sagamore Hills, OH 44067-2960

Mailing address

7689 Sagamore Hills Blvd
Sagamore Hills, OH 44067-2960
Phone (330) 467-8101

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP10002OHMDNurse Practitioner
333617NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University at Buffalo Pediatric Associates Inc PastSince Jan 1, 1998 Accepting new patients
Southwestern Medical Associates, LLP Past Accepting new patients

Organizations & group practices 2

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": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1295839355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7689 SAGAMORE HILLS BLVD",
            "city": "SAGAMORE HILLS",
            "state": "OH",
            "postal_code": "440672960",
            "telephone_number": "330-467-8101",
            "fax_number": "330-468-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7689 SAGAMORE HILLS BLVD",
            "city": "SAGAMORE HILLS",
            "state": "OH",
            "postal_code": "440672960",
            "telephone_number": "330-467-8101",
            "fax_number": "330-468-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "LAURA",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "333617",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP10002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sagamore Hills, OH

Sources for this page

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