Andrea Jean Fitutasi, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

141041 Issued in AK

Practice address

670 W Fireweed LN Ste 160
Anchorage, AK 99503-2561

Phone

(907) 770-0862

NPI assigned

Jan 24, 2019

Last updated

Mar 20, 2020By the provider in NPPES

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 names 1

• Andrea Muzzy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1932663861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13731 SE 26TH ST",
            "city": "MORRISTON",
            "state": "FL",
            "postal_code": "326682708",
            "telephone_number": "907-290-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 W FIREWEED LN STE 160",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032561",
            "telephone_number": "907-770-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITUTASI",
        "first_name": "ANDREA",
        "middle_name": "JEAN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AK",
            "license": "141041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "MUZZY",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rosemarie Fitch
• Fitchett's Assisted Living Home LLC
• Arycelli Fitiausi
• Gail Ann Fitka, BA
• James Michael Fitterling, PH.D.
• Brock Fitzgerald
• Donna T Fitzgerald, MS, LPC
• Kelsey Fitzgerald
• John Fitzpatrick
• Susanne E. Fix, M.D.

• Licensed Practical Nurse in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Licensed Practical Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.