THERESE MARIE FITZGERALD (NPI# 1033675863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033675863 |
| Entity Type | Individual |
| Full Name | THERESE MARIE FITZGERALD |
| Credential | ANP |
| Practice Address |
155 Crystal Run Rd Middletown NY 10941-4028 |
| Practice Telephone | 8457036999 |
| Practice Fax Number | 8457036297 |
| Mailing Telephone | 8457036999 |
| Mailing Fax Number | 8457036297 |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2020-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 499226 | NY | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F309092 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417098237 | Therese Fitzgerald | Psychologist | 8505 E Valley View Rd, Scottsdale, AZ 85250-6768 | 2007-02-12 |
| Street Address |
155 CRYSTAL RUN RD |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10941-4028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851398697 | Renita Danette Butler | Internal Medicine | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2005-07-07 |
| 1851908743 | Lex Randal Harvey | Nurse Practitioner | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2020-09-25 |
| 1205445384 | Jillian Amanda Sandler | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2020-07-24 |
| 1407474604 | Ashley M Lapolla | Nurse Practitioner | 155 Crystal Run Rd, Middletown, NY 10941-4057 | 2020-07-14 |
| 1598389314 | Carly M. Jobson | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2020-06-08 |
| 1841834959 | Ariel D. Chasipanta | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2019-10-31 |
| 1598317489 | Shyna L Foster | Nurse Practitioner | 155 Crystal Run Rd, Middletown, NY 10941-4057 | 2019-07-11 |
| 1376102657 | Kiana Jeffers | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2019-06-10 |
| 1376107615 | Alyssa Stein | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2019-04-23 |
| 1700345733 | Mihaela Souliopoulos | Nurse Practitioner | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2019-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471428 | Jackeline Montoya | Case Manager/Care Coordinator | 13 Kensington Manor, Middletown, NY 10941 | 2020-06-15 |
| 1124502398 | Kimberly Dominique Mccormick | Licensed Practical Nurse | 29, Macintosh Drive, Middletown, NY 10941 | 2018-09-24 |
| 1750891081 | Heather Skinner | Case Manager/Care Coordinator | 75 Crystal Run Rd Suite 201, Middletown, NY 10941 | 2017-09-29 |
| 1295281012 | Christa Lloyd | Counselor | 15 Fortune Rd, West Middletown, NY 10941 | 2016-08-31 |
| 1023471109 | Lauren Battaglia | Occupational Therapy Assistant | 192 Tower Drive Suite 400, Middletown, NY 10941 | 2016-04-05 |
| 1992188718 | Brynn Sierra | Occupational Therapist | 21 Riverside Drive, Middletown, NY 10941 | 2015-06-30 |
| 1356788574 | Keren Denis Joseph | Custodial Care Facility | 16 Disco Dr, Middletown, NY 10941 | 2013-05-29 |
| 1902169204 | Susan A. Reilly | Specialist | 2277 Gosen Turnpike, Middletown, NY 10941 | 2012-06-21 |
| 1518229392 | Dena Sapp | Case Manager/Care Coordinator | 75 Crystal Run Rd. Suite 201, Middletown, NY 10941 | 2012-06-08 |
| 1770800542 | Orange County Medical Transportation Inc. | Taxi | 80 Wisner Avenue, Middletown, NY 10941 | 2010-05-03 |
| Find all providers in zip 10941 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518377647 | Lori S Boyle | Nurse Practitioner | 1000 Hwy 35, Suite 301, Middletown, NJ 07748-2606 | 2014-04-29 |
| 1568768216 | Lavern Angela Glave | Nurse Practitioner | 3 Park Circle Dr, Middletown, NY 10940-2945 | 2011-01-27 |
| 1952611212 | Elizabeth Marie Sassi | Nurse Practitioner | 800 Rte 17 M, Middletown, NY 10940 | 2010-10-20 |
| 1396064721 | Linda Prioleau | Nurse Practitioner | 27 Genung St, Middletown, NY 10940-5205 | 2010-05-25 |
| 1497877971 | Jeanine Rose Doody | Nurse Practitioner | 480 Red Hill Rd, Middletown, NJ 07748-3052 | 2007-04-04 |
| 1841319704 | Graceann Barrett | Nurse Practitioner | 1270 Hwy 35, Middletown, NJ 07748-2014 | 2007-03-29 |
| 1710058144 | Ellen Massey | Nurse Practitioner | 15 Crescent St, Middletown, CT 06457-3601 | 2006-11-09 |
| 1255318341 | Joanne M Mckenna | Nurse Practitioner | 58 E Main Rd, Middletown, RI 02842-4988 | 2005-12-29 |
| 1972127645 | Dione Samantha Hudson-douglas | Nurse Practitioner | 3 Charles St, Middletown, NY 10940-4104 | 2020-05-29 |
| 1356812069 | Wendy R Ognek | Nurse Practitioner | 111 Maltese Dr, Middletown, NY 10940-2141 | 2018-12-07 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10941 |
Please comment or provide details below to improve the information on THERESE MARIE FITZGERALD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.