Active NPI
Melissa Fitzgerald
- Driver
- Martinsville, VA
National Provider Identifier
1942969662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- T63328836
- Practice address
- 625 Price Hairston St
Martinsville, VA 24112-1793 - Phone
- (276) 336-5635
- NPI assigned
- Dec 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | T63328836 | VA | Primary |
Addresses
Primary practice location
625 Price Hairston St
Martinsville, VA 24112-1793
Mailing address
625 Price Hairston St
Martinsville, VA 24112-1793
Phone (276) 336-5635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T63328836 | VA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639008000000",
"number": "1942969662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 PRICE HAIRSTON ST",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241121793",
"telephone_number": "276-336-5635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 PRICE HAIRSTON ST",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241121793",
"telephone_number": "276-336-5635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "MELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-09",
"last_updated": "2021-12-09",
"certification_date": "2021-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "VA",
"license": "T63328836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinsville, VA
- Aleshia Monique Ferrell, MSW
- Erica Sule Ficarrotto, PT
- Hannah Elise Finney
- First Family Pharmacy, LLC (First Pharmacy of Martinsville)
- Chassidy A Fitzgerald, LPC
- Roderick Fitzgerald
- Sarah Foley
- Foot and Ankle Specialists of the Mid-Atlantic, LLC
- For Every Change Support Services, LLC
- Kristi Rochelle Ford, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.