Jacqueline Fitzgerald

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

30765 Issued in TN

Practice address

330 23Rd Ave N Ste 140
Nashville, TN 37203-1536

Phone

(615) 320-8887

NPI assigned

Jul 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

University of Virginia School of Medicine, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Cumberland Behavioral Health LLCGroup PAC ID 0941628564, 9 clinicians

Perkins-Janicek Psychiatric Group, PLLCGroup PAC ID 9739623729, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacqueline.fitzgerald@hca1.eclinicaldirectplus.com

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.

• Cumberland Behavioral Health, LLC

  • Psychiatric Hospital
  • Nashville, TN
  • NPI 1568006633
  Medicare reassignment Care Compare group NPD
• Perkins-Janicek Psychiatric Group, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Goodlettsville, TN
  • NPI 1992575203
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1811560949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 23RD AVE N STE 140",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031536",
            "telephone_number": "615-320-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 23RD AVE N STE 140",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031536",
            "telephone_number": "615-320-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024182146",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "30765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fithearing, LLC
• Sarah Fittro
• Erin Fitts-Christensen, AGACNP-BC
• Alexis Reese Fitzgerald, PA
• Frances Fitzgerald
• Mary Trabue Fitzgerald, CCC-SLP, CCC-A
• Taseanna Fitzgerald
• Teresa Lee Fitzgerald
• Timothy Fitzgerald, MD
• Sarah Fitzlaff, MD

• Psychiatric/Mental Health Nurse Practitioner in Nashville, TN
• Providers in Nashville, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.