Individual provider Active NPI

Klaireece Fitch, M.D.

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1922489590
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME131056 Issued in FL
Practice address
401 N Mills Ave
Ste B PMB 1112
Orlando, FL 32803
Phone
(509) 881-7030
NPI assigned
Jun 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD22843 ME
Family Medicine Physician 207Q00000X MD60843854 WA
Family Medicine Physician 207Q00000X TRAINING FL
Family Medicine Physician 207Q00000X ME131056 FL Primary

Addresses

Primary practice location

401 N Mills Ave
Ste B PMB 1112
Orlando, FL 32803

Mailing address

401 N Mills Ave.
Ste B PMB 1112
Orlando, FL 32803

Other practice location 1

14 Wyonegonic Rd
Bridgton, ME 04009-4652
Phone (207) 647-9021

Other practice location 2

1003 Koala Dr
Omak, WA 98841-9247
Phone (509) 422-5700

Other practice location 3

933 Corbaley Pl
Wenatchee, WA 98801-1603
Phone (509) 881-7030

Other practice location 4

133 Benmore Dr Ste 201
Winter Park, FL 32792-4111
Phone (407) 646-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WA, ME3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180215001814 FL Practitioner - Family Practice 6305106733 Reassigns benefits to 1 organization
I20180918002743 WA Practitioner - Family Practice 6305106733 Reassigns benefits to 1 organization
I20190327001978 ME Practitioner - Family Practice 6305106733 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD22843MEMDFamily Medicine Physician
MD60843854WAMDFamily Medicine Physician
TRAININGFLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System/ Sunbelt, Inc. Family Medicine CurrentSince Jan 12, 2018 Accepting new patients
Family Health Centers Current Accepting new patients
Central Maine Medical Center CurrentSince Feb 7, 2019 Accepting new patients
Bridgton Hospital CurrentSince Feb 1, 2019 Accepting new patients
Bridgton Hospital CurrentSince Feb 1, 2019 Accepting new patients
Central Maine Medical Center CurrentSince Feb 7, 2019 Accepting new patients
Family Health Centers CurrentSince Sep 1, 2018 Accepting new patients
Family Health Centers CurrentSince Sep 1, 2018 Accepting new patients
Adventist Health System Sunbelt, Inc. Family Medicine CurrentSince Jan 12, 2018 Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

2600 Westhall Ln
Maitland, FL 32751
Phone (407) 200-2273

4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650

14 Wyonegonic Rd
Bridgton, ME 04009
Phone (207) 647-9021

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

12 High St
Ste 302
Lewiston, ME 04240
Phone (207) 795-5730

364 Main St
Lewiston, ME 04240
Phone (207) 795-5646

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

1003 Koala Dr
Omak, WA 98841
Phone (509) 422-1913

106 S Whitcomb Ave
Tonasket, WA 98855
Phone (509) 486-0114

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1922489590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N MILLS AVE.",
            "address_2": "STE B PMB 1112",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N MILLS AVE",
            "address_2": "STE B PMB 1112",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32803",
            "telephone_number": "509-881-7030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Wyonegonic Rd",
            "address_purpose": "LOCATION",
            "city": "Bridgton",
            "state": "ME",
            "postal_code": "040094652",
            "country_code": "US",
            "telephone_number": "207-647-9021",
            "fax_number": "207-647-5932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1003 Koala Dr",
            "address_purpose": "LOCATION",
            "city": "Omak",
            "state": "WA",
            "postal_code": "988419247",
            "country_code": "US",
            "telephone_number": "509-422-5700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "933 Corbaley Pl",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988011603",
            "country_code": "US",
            "telephone_number": "509-881-7030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 Benmore Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327924111",
            "country_code": "US",
            "telephone_number": "407-646-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITCH",
        "first_name": "KLAIREECE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD22843",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60843854",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "TRAINING",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME131056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.