Joshua Fitzgerald, CRM

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

25-CRM-4390 Issued in OR

Practice address

419 SW 5TH St
Pendleton, OR 97801-2020

Phone

(541) 429-4940

Fax

(541) 429-4941

NPI assigned

May 5, 2025

Sex

Male

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Life'S Intention LLC

  • Clinic/Center
  • Pendleton, OR
  • NPI 1124729314
  NPD

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1700675741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 SW 6TH ST",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978012928",
            "telephone_number": "541-429-4940",
            "fax_number": "541-429-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 SW 5TH ST",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978012020",
            "telephone_number": "541-429-4940",
            "fax_number": "541-429-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "JOSHUA",
        "credential": "CRM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "25-CRM-4390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conan S Fisher, D.C.
• Heather Fisher
• Jennifer N Fisher, CSWA
• Karen L Fisher
• Pamela Fisher
• Emma Rae Florence, QMHA
• Laura R Flynn, MS, NCC
• Linda Lee Foley, MS
• Michael Fordice
• Susan D Fordice

• Peer Specialist in Pendleton, OR
• Providers in Pendleton, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.