Deidre Fitzpatrick, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

848011 Issued in CA

Practice address

3151 Airway Ave Ste D1
Costa Mesa, CA 92626-4622

Phone

(714) 964-6730

Fax

(714) 964-4382

NPI assigned

Mar 25, 2015

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1942694138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE STE D1",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE STE D1",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264622",
            "telephone_number": "714-964-6730",
            "fax_number": "714-964-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "DEIDRE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "848011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Responders of California LLC
• Dena Fisher, RD
• Keshawna Fisher
• Mary Leona Fisher, 16/1964
• Heather Michelle Fitzgerald, DPT
• Lara Yen Fitzpatrick
• Farah Lyn Flahive
• Susan Lynn Flaming
• Paul Flanagan, M.D.
• Sheila Fleitas

• Addiction (Substance Use Disorder) Registered Nurse in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Addiction (Substance Use Disorder) Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.