Stacy Danae Fitzgerald, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA48416 Issued in FL

Practice address

508 Airport Rd
Suite I
Panama City, FL 32405-4030

Phone

(850) 867-9254

Fax

(850) 481-0225

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Stacy Danae Gillaspie Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17900/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1366526873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6412 LAKE SUZZANNE PL",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324043407",
            "telephone_number": "850-867-9254",
            "fax_number": "850-481-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 AIRPORT RD",
            "address_2": "SUITE I",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054030",
            "telephone_number": "850-867-9254",
            "fax_number": "850-481-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "STACY",
        "middle_name": "DANAE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA48416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "GILLASPIE",
            "middle_name": "DANAE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Norman Reed Finney, MD
• Howell Ross Fishel, M.D.
• Mary Ellen Fisher, RN
• Robin M. Fisher, A.R.N.P
• Cheryl G. Fitzgerald
• Kimberly Elaine Fitzpatrick, LMHC
• FL Medical Group
• FL Neuro Pain and Spine Center, .P.a.
• FL Neuro Pain and Spine Center, .P.a.
• FL-I Medical Services LLC

• Massage Therapist in Panama City, FL
• Providers in Panama City, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.