Active NPI
Patricia Mary Fitzgerald, FNC
- Nurse Practitioner
- Eureka, CA
National Provider Identifier
1992712400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 272702
- Practice address
- 714 F St
Eureka, CA 95501-1036 - Phone
- (707) 442-5335
- Fax
- (707) 442-1452
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 272702 | CA | Primary |
Addresses
Primary practice location
714 F St
Eureka, CA 95501-1036
Mailing address
714 F St
Eureka, CA 95501-1036
Phone (707) 442-5335
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 272702 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992712400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 F ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955011036",
"telephone_number": "707-442-5335",
"fax_number": "707-442-1452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 F ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955011036",
"telephone_number": "707-442-5335",
"fax_number": "707-442-1452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "PATRICIA",
"middle_name": "MARY",
"credential": "FNC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "272702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.