Active NPI
Karen L Fitzgerald, PHD, ARNP
- Pediatric Nurse Practitioner
- Tacoma, WA
National Provider Identifier
1306821186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP30006468
- Practice address
- Madigan Army Medical Ctr
9040 Reid Street
Tacoma, WA 98431-0001 - Phone
- (258) 968-2310
- Fax
- (253) 968-5294
- NPI assigned
- Dec 14, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP30006468 | WA | Primary |
Addresses
Primary practice location
Madigan Army Medical Ctr
9040 Reid Street
Tacoma, WA 98431-0001
Mailing address
9040 Reid Street
Madigan Army Medicalcenter
Tacoma, WA 98431
Phone (258) 968-2310
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
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364428800000",
"number": "1306821186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9040 REID STREET",
"address_2": "MADIGAN ARMY MEDICALCENTER",
"city": "TACOMA",
"state": "WA",
"postal_code": "98431",
"telephone_number": "258-968-2310",
"fax_number": "253-968-5294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CTR",
"address_2": "9040 REID STREET",
"city": "TACOMA",
"state": "WA",
"postal_code": "984310001",
"telephone_number": "258-968-2310",
"fax_number": "253-968-5294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "KAREN",
"middle_name": "L",
"credential": "PHD, ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-14",
"last_updated": "2013-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "WA",
"license": "AP30006468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.