Rebecca Martinez Fitzgerald

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3326 Durham-Chapel Hill Boulevard
B-130
Durham, NC 27707

Phone

(973) 945-7038

NPI assigned

Feb 18, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 17, 2023 through Jul 17, 2027

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1932792090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3326 DURHAM-CHAPEL HILL BOULEVARD",
            "address_2": "B-130",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27707",
            "telephone_number": "973-945-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3326 DURHAM-CHAPEL HILL BOULEVARD",
            "address_2": "B-130",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27707",
            "telephone_number": "973-945-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "REBECCA",
        "middle_name": "MARTINEZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Fitz, M.D.
• Ani Fitzgerald, PA-C
• Kathleen Louise Fitzgerald, M.ED., LPC
• Leah M. Fitzgerald, CRNA
• Patricia Fitzgerald
• Leo Fitzpatrick
• Michael A Fitzpatrick IV, PT, DPT, MS, CSCS
• Laurin Cahill Fitzsimmons, PA
• Cristina Q. Flake, LCSW
• Harley Flake

• Clinical Social Worker in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.