Individual provider Active NPI

Rachel L Fitzgerald, OD

  • Optometrist
  • Pikeville, KY
National Provider Identifier
1336599331
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2065DT Issued in KY
Practice address
147 Sycamore St
Pikeville, KY 41501
Phone
(606) 218-5540
Fax
(606) 218-5509
NPI assigned
Jun 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2065DT KY Primary

Addresses

Primary practice location

147 Sycamore St
Pikeville, KY 41501

Mailing address

147 Sycamore St
Pikeville, KY 41501-9118
Phone (606) 218-5540

Other practice location 1

911 Bypass Rd Bldg A
Pikeville, KY 41501-1689
Phone (606) 430-2209

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rachel.fitzgerald.p1@direct.pmc.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170919003724 KY Practitioner - Optometry 1658662598 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of PikevilleGroup PAC ID 6709120942, 18 clinicians

Practice addresses (Care Compare)

147 Sycamore St
Pikeville, KY 41501-9118
Phone (606) 218-5528

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2065DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Big Sandy Health Care, Inc Current Accepting new patients
Big Sandy Health Care Inc CurrentSince Oct 9, 2017 Accepting new patients
Big Sandy Health Care Inc CurrentSince Oct 9, 2017 Accepting new patients
Pikeville Medical Center Inc. Optometrist CurrentSince Aug 24, 2017 Accepting new patients
Pikeville Medical Center Inc CurrentSince Aug 24, 2017 Accepting new patients
Big Sandy Health Care Inc Current Accepting new patients
Big Sandy Health Care Inc Current Accepting new patients
University of Pikeville Optometrist CurrentSince Nov 11, 2018 Accepting new patients

Locations

23 Willow Dr
Auxier, KY 41602
Phone (606) 886-8997

7617 Ky Route 979
Grethel, KY 41631
Phone (606) 587-2200

6500 Highway 645
Ste 110
Inez, KY 41224
Phone (606) 298-3412

41 Triangle St
Martin, KY 41649
Phone (606) 218-5540

184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213

147 Sycamore St
Pikeville, KY 41501
Phone (606) 218-5250

147 Sycamore St
#858
Pikeville, KY 41501

911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201

178 Douglas Pkwy
Pikeville, KY 41501
Phone (606) 639-3135

1709 Ky Route 321
Ste 3
Prestonsburg, KY 41653
Phone (606) 886-8546

940 Parkway Dr
Salyersville, KY 41465
Phone (606) 298-3412

Interoperability endpoints

  • Direct secure messaging: rachel.fitzgerald.p1@direct.mtncomp.nextgenshare.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1336599331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 SYCAMORE ST",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415019118",
            "telephone_number": "606-218-5540",
            "fax_number": "606-218-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 SYCAMORE ST",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "41501",
            "telephone_number": "606-218-5540",
            "fax_number": "606-218-5509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 Bypass Rd Bldg A",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415011689",
            "country_code": "US",
            "telephone_number": "606-430-2209",
            "fax_number": "606-218-7509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "RACHEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2065DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rachel.fitzgerald.p1@direct.pmc.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "direct address for ccda",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "standard direct functionality",
            "address_1": "911 Bypass Rd Bldg A",
            "city": "Pikeville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "415011689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.