Wellesley Fitzhugh, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

A004217 Issued in AR

Practice address

108 W Tyler Ave
West Memphis, AR 72301-4221

Phone

(870) 732-1191

Fax

(870) 732-4091

NPI assigned

Oct 3, 2014

Sex

Female

Sole proprietor

No

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.

• Pediatric Associates of W MPHS

  • Pediatrics Physician
  • Marion, AR
  • NPI 1801042924
  NPD (past)
• Pediatric Associates of West Memphis, PLC

  • Clinic/Center
  • West Memphis, AR
  • NPI 1407966005
  NPD (past)
• Premier Pediatrics of Memphis, PLLC

  • Pediatrics Physician
  • Lakeland, TN
  • NPI 1235875576
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBAICD

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 29, 2016.

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1306249396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W TYLER AVE",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014221",
            "telephone_number": "870-732-1191",
            "fax_number": "870-732-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W TYLER AVE",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014221",
            "telephone_number": "870-732-1191",
            "fax_number": "870-732-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZHUGH",
        "first_name": "WELLESLEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-03",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AR",
            "license": "A004217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205408758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Elizabeth Fenter, PT
• Deborah Thompson Ferguson, DDS
• Edgar Scott Ferguson Sr., MD
• Koyia Latrece Figures, M.D.
• First Choice Mobile Medical Corp
• Brandi Fletcher, MHPP
• Maria Gigi Floresca
• Josephine Flowers, LPC
• Sharron Foster, RN
• Jamie Suzanne Foust

• All providers in West Memphis, AR
• Pediatric Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.