Tiye Arica Fitzgerald

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

6641 Spring Flower Dr
Indianapolis, IN 46237-9002

Phone

(216) 704-1791

NPI assigned

Aug 19, 2021

Last updated

Aug 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1659047538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6641 SPRING FLOWER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462379002",
            "telephone_number": "216-704-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6641 SPRING FLOWER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462379002",
            "telephone_number": "216-704-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "TIYE",
        "middle_name": "ARICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ELANIOR1991@GMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "DIAGNOSIS",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6641 Spring Flower Dr",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462379002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karen S Fitzgerald, M.D.
• Kelly A Fitzgerald
• Latoya Fitzgerald
• Lizabeth Ann Fitzgerald, L.C.S.W.
• Mallie Elizabeth Fitzgerald
• Janice K. Fitzharris
• Joseph Allyn Fitzhugh
• Ashley E Fitzpatrick, NP
• Kimberly Ann Fitzpatrick, ATC
• Matthew Charles Fitzpatrick

• Home Health Aide in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Home Health Aide in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.