Sandrine Fitzgerald, RD, CNSC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

867786 Issued in CA

Practice address

4077 Fifth Ave
San Diego, CA 92103-2105

Phone

(619) 204-0283

NPI assigned

Feb 7, 2017

Last updated

Feb 7, 2017By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1710425038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 MOUNT ALADIN AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4077 FIFTH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032105",
            "telephone_number": "619-204-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "SANDRINE",
        "name_prefix": "Mrs.",
        "credential": "RD, CNSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "867786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Scott Fitzgerald, PMHNP
• Michael William Fitzgerald, M.D.
• Michelle Laticia Fitzgerald
• Patricia Mary Fitzgerald, R.N.
• Patrick Sean Fitzgerald, DO
• Thomas M Fitzgerald, MD
• Melissa Eileen Fitzgibbon, MS, LAT, ATC
• Demi Raye Fitzpatrick
• Kate Fitzpatrick
• Kelly Fitzpatrick

• Registered Dietitian in San Diego, CA
• Providers in San Diego, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.