Active NPI
Laura Jean Fitzgerald, NP
- Family Nurse Practitioner
- Ypsilanti, MI
National Provider Identifier
1508517442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704329942
- Practice address
- 2940 Ellsworth Rd
Ypsilanti, MI 48197-7406 - Phone
- (734) 572-5777
- NPI assigned
- Jan 12, 2022
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704329942 | MI | Primary |
Addresses
Primary practice location
2940 Ellsworth Rd
Ypsilanti, MI 48197-7406
Mailing address
3201 Hayes CT
Ann Arbor, MI 48108-3211
Phone (734) 474-8262
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704329942 | MI | MD | Family Nurse Practitioner |
Interoperability endpoints
- lfitzgerald685907@direct.hfhs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641945600000",
"number": "1508517442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 HAYES CT",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481083211",
"telephone_number": "734-474-8262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 ELLSWORTH RD",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481977406",
"telephone_number": "734-572-5777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "LAURA",
"middle_name": "JEAN",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-12",
"last_updated": "2022-01-12",
"certification_date": "2022-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704329942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.