Individual provider Active NPI

Erin Fitzgerald, ND

  • General Practice Physician
  • Phoenix, AZ
National Provider Identifier
1811140999
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
08-1075 Issued in AZ
Practice address
5316 E Cambridge Ave
Phoenix, AZ 85008-1719
Phone
(480) 776-9763
Fax
(480) 970-0003
NPI assigned
Nov 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 08-1075 AZ Primary

Addresses

Primary practice location

5316 E Cambridge Ave
Phoenix, AZ 85008-1719

Mailing address

5316 E Cambridge Ave
Phoenix, AZ 85008-1719
Phone (480) 776-9763

Other practice location 1

2940 Summit St Ste 2D
Oakland, CA 94609-3416
Phone (510) 859-4572

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

State licenses

LicenseStateTypeSpecialty
08-1075AZMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1811140999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5316 E CAMBRIDGE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850081719",
            "telephone_number": "480-776-9763",
            "fax_number": "480-970-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5316 E CAMBRIDGE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850081719",
            "telephone_number": "480-776-9763",
            "fax_number": "480-970-0003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2940 Summit St Ste 2D",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946093416",
            "country_code": "US",
            "telephone_number": "510-859-4572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "08-1075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.