Brooke Kreitner Fitzgerald, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200650005NP FNP-PP Issued in OR

Practice address

3769 SE Milwaukie Ave
Portland, OR 97202-3804

Phone

(503) 206-8850

Fax

(503) 296-5820

NPI assigned

Mar 3, 2008

Last updated

Feb 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Robbie Bahl, MD LLC

  dba Shanti Recovery & Wellness

  • Addiction Medicine (Family Medicine) Physician
  • Portland, OR
  • NPI 1073978284
  NPD (past)

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1316117633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3769 SE MILWAUKIE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023804",
            "telephone_number": "503-206-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3769 SE MILWAUKIE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023804",
            "telephone_number": "503-206-8850",
            "fax_number": "503-296-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "BROOKE",
        "middle_name": "KREITNER",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-03",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200650005NP FNP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nan Isabel Fitz Gerald, RN CDE
• Morgan Elizabeth Fitz Gibbon, LMFT
• Conor Fitz, PSYD
• Michelle Anne Fitz, M.ED.
• Savannah Fitz
• Caitlin Frances Fitzgerald, SLP
• Jessica Fitzgerald, BA
• Keegan Eileen Fitzgerald, PT
• Kimberly Fitzgerald
• Leslie Jean Fitzgerald

• Family Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.