Active NPI
Kristie A Fitzgerald, B.S., PHARM
- Pharmacist
- Provo, UT
National Provider Identifier
1467660399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 143394-1701
- Practice address
- Utah Valley Regional Medical Center
1034 North 500 West
Provo, UT 84604-3305 - Phone
- (801) 357-3095
- Fax
- (801) 370-9061
- NPI assigned
- May 21, 2007
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 143394-1701 | UT | Primary |
Addresses
Primary practice location
Utah Valley Regional Medical Center
1034 North 500 West
Provo, UT 84604-3305
Mailing address
2414 Chapel Rim Cir
South Jordan, UT 84095-7922
Phone (801) 571-1120
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)
- Not enrolled
- Credentials
- Bachelor of Science, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 143394-1701 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467660399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2414 CHAPEL RIM CIR",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840957922",
"telephone_number": "801-571-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UTAH VALLEY REGIONAL MEDICAL CENTER",
"address_2": "1034 NORTH 500 WEST",
"city": "PROVO",
"state": "UT",
"postal_code": "846043305",
"telephone_number": "801-357-3095",
"fax_number": "801-370-9061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "KRISTIE",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "B.S., PHARM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "143394-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.