Kimberly Fitzgerald

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1675 SW Marlow Ave Ste 200
Portland, OR 97225-5102

Phone

(510) 679-3545

NPI assigned

Mar 21, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1508283102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 SE 92ND AVE APT 45",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661963",
            "telephone_number": "206-913-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 SW MARLOW AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255102",
            "telephone_number": "510-679-3545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14434 NE 8th St",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980074105",
            "country_code": "US",
            "telephone_number": "425-502-5018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-21",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Fitz
• Brooke Kreitner Fitzgerald, FNP
• Caitlin Frances Fitzgerald, SLP
• Jessica Fitzgerald, BA
• Keegan Eileen Fitzgerald, PT
• Leslie Jean Fitzgerald
• Maria Teresa Fitzgerald, M.S., CCC-SLP
• Marsha Jean Fitzgerald, RDH
• Niall J Fitzgerald
• Patrick Lee Fitzgerald, M.D.

• Behavior Technician in Portland, OR
• Providers in Portland, OR by specialty
• Behavior Technician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.