Mary A Fitzpatrick, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Practice address

3710 SW US Veterans Hospital Rd
Dept. of VA Medical Center, Portland
Portland, OR 97207-1034

Phone

(503) 220-8262

Fax

(503) 220-8262

NPI assigned

Aug 23, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: mfitzpatrick114619@direct.ohsu.edu

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821081092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1034, P3NEURO",
            "address_2": "DEPT. OF VA MEDICAL CENTER, PORTLAND",
            "city": "POTLAND",
            "state": "OR",
            "postal_code": "972071034",
            "telephone_number": "503-220-8262",
            "fax_number": "503-721-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 SW US VETERANS HOSPITAL RD",
            "address_2": "DEPT. OF VA MEDICAL CENTER, PORTLAND",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972071034",
            "telephone_number": "503-220-8262",
            "fax_number": "503-220-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "MARY",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9642240",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Fitzpatrick, LMFT INTERN
• Diana Lynn Fitzpatrick, MD
• Emily Fitzpatrick
• Julien Baillie Fitzpatrick, RN
• Kersey D Fitzpatrick, LMT 29571
• P. Kelly Fitzpatrick, BA, NCAC II, QMHA
• Stephanie Lenay Fitzpatrick, PH.D.
• Mary Robinette H Fitzsimmons, MSW, LCSW
• Five Direction'S Medicine
• Five Elements Healthcare, Inc.

• Adult Health Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Adult Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.