Individual provider Active NPI

Margaret R Fitzgerald, ANP

  • Nurse Practitioner
  • Colebrook, NH
National Provider Identifier
1952501751
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
033914-23 Issued in NH
Practice address
141 Corliss LN
Colebrook, NH 03576-3206
Phone
(603) 237-8336
Fax
(603) 237-4467
NPI assigned
Jul 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 033914-23 NH Primary

Addresses

Primary practice location

141 Corliss LN
Colebrook, NH 03576-3206

Mailing address

141 Corliss LN
Colebrook, NH 03576-3206
Phone (603) 237-8336

Other practice location 1

425 E Dahlia Ave Ste L
Palmer, AK 99645-6463
Phone (907) 745-1777

Other identifiers 6

IdentifierTypeStateIssuer
21293OtherAKREGISTER NURSE LICENSE
033914-23OtherNHLICENSE - RN
033914-21OtherNHLICENSE - APRN
101.0132915OtherVTLICENSE - APRN
026.0132717OtherVTLICENSE - RN
320OtherAKSTATE LICENSE NUMBER

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
990AKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Center, PC CurrentSince Jul 1, 2007 Accepting new patients
Alaska Family Health Centers, LLC CurrentSince Apr 3, 2017 Accepting new patients

Locations

425 E Dahlia Ave
Ste L
Palmer, AK 99645
Phone (907) 376-2411

Interoperability endpoints

  • Direct secure messaging: margaret.fitzgerald@ishc.directbygreenway.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1952501751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 CORLISS LN",
            "city": "COLEBROOK",
            "state": "NH",
            "postal_code": "035763206",
            "telephone_number": "603-237-8336",
            "fax_number": "603-237-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 CORLISS LN",
            "city": "COLEBROOK",
            "state": "NH",
            "postal_code": "035763206",
            "telephone_number": "603-237-8336",
            "fax_number": "603-237-4467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 E Dahlia Ave Ste L",
            "address_purpose": "LOCATION",
            "city": "Palmer",
            "state": "AK",
            "postal_code": "996456463",
            "country_code": "US",
            "telephone_number": "907-745-1777",
            "fax_number": "907-745-0226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "MARGARET",
        "middle_name": "R",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "033914-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTER NURSE LICENSE",
            "identifier": "21293",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE - RN",
            "identifier": "033914-23",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE - APRN",
            "identifier": "033914-21",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE - APRN",
            "identifier": "101.0132915",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE - RN",
            "identifier": "026.0132717",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "320",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colebrook, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.