MAYRA FITZGERALD


Address: 1201 Sw Thomas Ct, Port St Lucie, FL 34953-4271
Phone: 3058968878

MAYRA FITZGERALD (NPI# 1073028072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073028072
Entity Type Individual
Full Name MAYRA FITZGERALD
Practice Address 1201 Sw Thomas Ct
Port St Lucie
FL 34953-4271
Practice Telephone 3058968878
Enumeration Date 2017-12-12
Last Update Date 2017-12-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 1201 SW THOMAS CT
City PORT ST LUCIE
State FL
Zip Code 34953-4271

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1730670555 Susan May Thyme Nurse Practitioner 1762 Sw Choate St, Port Saint Lucie, FL 34953 2018-05-29
1164911301 Viven Banks Counselor 3581 Sw Kromrey St, Port Saint Lucie, FL 34953 2018-05-03
1205323441 Katherine Monroig Behavior Technician 4557 Se Babylon St, Port Saint Lucie, FL 34953 2018-04-13
1528567583 Roger Rene Trudel Nurse Practitioner 3686 Sw Carmody Street, Port St Lucie, FL 34953 2018-02-06
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285284745 Ronn Daigle Case Manager/Care Coordinator 6701 Woods Island Cir Apt 105, Port St Lucie, FL 34952-1482 2019-09-17
1053872986 Marie E Solide Case Manager/Care Coordinator 1526 Sw Broadview St, Port St Lucie, FL 34983-2993 2019-03-25
1669941506 Linda Prevalon Case Manager/Care Coordinator 4602 Sw Joffre St, Port St Lucie, FL 34953-6638 2018-11-21
1922592864 Deadra L Nisbeth-lewis Case Manager/Care Coordinator 2312 Sw Import Dr, Port St Lucie, FL 34953-5796 2018-06-14
1124547989 Alicia Maria Herrero Marzo Case Manager/Care Coordinator 749 Nw Orchid St, Port St Lucie, FL 34983 2017-09-13
1912364886 Chastity Velez-soto Case Manager/Care Coordinator 702 Se White Ave, Port St Lucie, FL 34983-2672 2016-01-24
1801263736 Maria Entner Case Manager/Care Coordinator 11154 Sw Wyndham Way, Port St Lucie, FL 34987-2752 2015-08-26
1790177202 Freddy Chavarro Case Manager/Care Coordinator 237 Sw Sterret Cir, Port St Lucie, FL 34953-3325 2015-02-21
1912309642 Shalita Pettway Case Manager/Care Coordinator 7229 Pine Lakes Blvd, Port St Lucie, FL 34952 2014-09-25
1083034649 Diana Capellan Case Manager/Care Coordinator 1479 Se Grapeland Ave, Port St Lucie, FL 34952-4949 2014-04-22
Find all providers in PORT ST LUCIE

Competitor

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City PORT ST LUCIE
Zip Code 34953

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Dataset Information

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.

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