Carol Ann Fitzsimmons, RN
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Setauket, NY
NPI 1487810552 · NPPES record last updated Sep 17, 2009
Key facts
- NPI
- 1487810552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 48 Julia Circle
Setauket, NY 11733 - Phone
- (631) 832-9202
- NPI assigned
- Jul 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
48 Julia Circle
Setauket, NY 11733
Mailing address
48 Julia Circle
Setauket, NY 11733
Phone (631) 832-9202
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02631827 | Medicaid | NY |
Other providers in Setauket, NY
- Judith Ferrara
- Patricia M. Ferrara
- Filomena Buncke, NP Psychiatry PC
- Richard Jonah Firestone
- Susan Fish
- Shelley A Fleit
- Georgette Flynn
- Douglas Foerth
- Sheila Foerth
- Donna Elizabeth Friedman
All providers in Setauket, NY · Student in an Organized Health Care Education/Training Program in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.