Active NPI
Marie Fitts, RN, MSN, CNS
- Registered Nurse
- McClellan, CA
National Provider Identifier
1477839637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- N-35431
- Practice address
- 5342 Dudley Blvd BLDG 98
McClellan, CA 95652-1012 - Phone
- (916) 561-7520
- Fax
- (916) 561-7529
- NPI assigned
- Nov 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | N-35431 | ID | Primary |
Addresses
Primary practice location
5342 Dudley Blvd BLDG 98
McClellan, CA 95652-1012
Mailing address
5342 Dudley Blvd BLDG 98
McClellan, CA 95652-1012
Phone (916) 561-7520
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
- Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N-35431 | ID | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320105600000",
"number": "1477839637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5342 DUDLEY BLVD BLDG 98",
"city": "MCCLELLAN",
"state": "CA",
"postal_code": "956521012",
"telephone_number": "916-561-7520",
"fax_number": "916-561-7529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5342 DUDLEY BLVD BLDG 98",
"city": "MCCLELLAN",
"state": "CA",
"postal_code": "956521012",
"telephone_number": "916-561-7520",
"fax_number": "916-561-7529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITTS",
"first_name": "MARIE",
"credential": "RN, MSN, CNS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-01",
"last_updated": "2011-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ID",
"license": "N-35431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McClellan, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.