KATIE L FITZGERALD (NPI# 1205211430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205211430 |
| Entity Type | Individual |
| Full Name | KATIE L FITZGERALD |
| Other Name | KATIE L JOHNSON |
| Practice Address |
8 Richland Medical Park Dr Ste 400 Columbia SC 29203-8004 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8037650871 |
| Practice Fax Number | 8037659215 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2019-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
23338 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
23185 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN232213 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1265 Union Ave Ste 184, Memphis, TN 381043415 | 9015169183 | 9015168993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801267026 | Katie Christine Fitzgerald | Counselor | 245 Bethel Rd, Glen Mills, PA 19342-1561 | 2015-10-14 |
| 1215467709 | Katie Marie Fitzgerald | Counselor | 10i Roessler Rd, Woburn, MA 01801-6208 | 2017-06-15 |
| 1306298906 | Katie Lynn Fitzgerald | Speech-Language Pathologist | 1525 Ridgewood Dr, Midland, MI 48642-6425 | 2016-07-07 |
| 1144560699 | Katie Michelle Fitzgerald | Physical Therapist | 410 E Church St, Unit C, Sandwich, IL 60548-2380 | 2013-02-20 |
| Street Address |
8 RICHLAND MEDICAL PARK DR STE 400 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-8004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518935543 | Edwin Lionel Schmidt Jr. | Physician Assistant | 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 | 2006-03-08 |
| 1225671860 | Mikaila Szwed | Physician Assistant | 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 | 2019-10-28 |
| 1649761792 | Palmetto Health University of South Carolina Medical Group | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 | 2018-05-24 |
| 1649789462 | Jennifer Lynn Fox | Nurse Practitioner | 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 | 2017-09-25 |
| 1508386566 | Benjamin Jacob Paulin | Physician Assistant | 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 | 2017-06-21 |
| 1053661348 | Jessica Leigh Wilson | Physician Assistant | 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203 | 2012-09-13 |
| 1841427838 | Jeri Lynn Long | Nurse Practitioner | 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 | 2009-06-17 |
| 1821204363 | Firas Fuad Mussa | Surgery | 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203 | 2007-05-14 |
| 1750412607 | James M. Grimes | Physician Assistant | 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 | 2007-03-09 |
| 1215071527 | James Ryan Burke | Surgery | 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 | 2007-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043671134 | Abbey Tapler | Nurse Practitioner | 9 Richland Med Pk Dr Ste 450, Columbia, SC 29203-6859 | 2016-03-16 |
| 1528428448 | Mary Frances Snipes | Nurse Practitioner | 3 Richland Medical Park Dr., Suite 310, Columbia, SC 29203-6862 | 2016-03-04 |
| 1841659216 | Lindsey Culbertson Cossio | Nurse Practitioner | 121park Central Drive, Suite 200, Columbia, SC 29203-6476 | 2016-02-15 |
| 1386987634 | Megan L Stanfill | Nurse Practitioner | 915 S Garden St, Columbia, TN 38401 | 2013-04-04 |
| 1699015347 | Farahnaz Nafisy | Nurse Practitioner | 3010 Farrow Rd Ste 300, Columbia, SC 29203-7606 | 2013-02-17 |
| 1114270030 | Rhonda Lamar Gibson | Nurse Practitioner | 147 Fox Squirrel Cir, Columbia, SC 29209-4478 | 2012-10-16 |
| 1952675043 | Charissa Kirkland Lowe | Nurse Practitioner | 1614 Main Street Suite C, Ltc Health Solutions, Columbia, SC 29201-2818 | 2012-03-07 |
| 1467741108 | Ashley L Chapman | Nurse Practitioner | 121 Park Central Dr Ste 200, Columbia, SC 29203-6476 | 2011-04-04 |
| 1629001508 | Carrie A Miller | Nurse Practitioner | 706 Ames Dr, Columbia, MO 65201-7571 | 2006-07-07 |
| 1275591687 | Beckie Merritt Church | Nurse Practitioner | 8 Medical Park Rd, Suite 300, Columbia, SC 29203-6864 | 2006-05-03 |
| Find all providers in COLUMBIA | ||||
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| 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.