Susan S Fitzgerald, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024098698 Issued in VA

Practice address

5895 Trinity Pkwy
Suite 100
Centreville, VA 20120-1995

Phone

(703) 802-2004

Fax

(703) 802-2113

NPI assigned

Jul 9, 2008

Last updated

Jul 9, 2008By the provider in NPPES

Sex

Female

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

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: susan.fitzgerald.1@17026.direct.athenahealth.com
• Direct secure messaging: susan.fitzgerald.1@17938.direct.athenahealth.com

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1811150899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5895 TRINITY PKWY",
            "address_2": "SUITE 100",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201995",
            "telephone_number": "703-802-2004",
            "fax_number": "703-802-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5895 TRINITY PKWY",
            "address_2": "SUITE 100",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201995",
            "telephone_number": "703-802-2004",
            "fax_number": "703-802-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "SUSAN",
        "middle_name": "S",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024098698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Katherine Buran Fischer, D.D.S.
• Kimberly Ann Fiscus, ATC
• Marco A Flores, D.D.S
• Leslie Flory, RDN
• Donna C Fortney, LPC
• Paul Frizelle, DPT
• Taylor Frost

• Family Nurse Practitioner in Centreville, VA
• Providers in Centreville, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.