Emily Jill Fitch, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-080719 Issued in AL

Practice address

330 St. Lukes Drive
Montgomery, AL 36117

Phone

(334) 270-8864

Fax

(334) 270-1176

NPI assigned

Oct 7, 2005

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Alexander Pediatrics LLC

  • Pediatrics Physician
  • Montgomery, AL
  • NPI 1548610314
  NPD

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1932197613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 ST. LUKES DRIVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36117",
            "telephone_number": "334-270-8864",
            "fax_number": "334-270-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 ST. LUKES DRIVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36117",
            "telephone_number": "334-270-8864",
            "fax_number": "334-270-1176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2921 Zelda Rd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361062682",
            "country_code": "US",
            "telephone_number": "334-277-5431",
            "fax_number": "334-277-5433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITCH",
        "first_name": "EMILY",
        "middle_name": "JILL",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-080719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891003350",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• First Choice Home Health & Behavioral Services LLC
• First Choice Wellness Centers, LLC (LUX Infusion Centers 3)
• Frances K Fischer, CRNA
• Kaileigh Fisher
• Fit Medical Supply
• Alyssa Fitzgerald, MAT, LAT, ATC
• Fitzpatrick Counseling Associates, LLC
• Elizabeth Fitzpatrick, LPC
• Mary Hoston Fitzpatrick
• Tara Lewis Fitzpatrick

• Nurse Practitioner in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.