TRACEY FITZGERALD (NPI# 1255959474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255959474 |
| Entity Type | Individual |
| Full Name | TRACEY FITZGERALD |
| Credential | LPN |
| Practice Address |
50 N Laura St Ste 2560 Jacksonville FL 32202-3664 |
| Practice Telephone | 9045250308 |
| Practice Fax Number | 9043028749 |
| Mailing Telephone | 9044403602 |
| Mailing Fax Number | 9043028749 |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN5224459 | FL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 106251000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841366499 | Tracey Lynne Fitzgerald | Physical Therapist | 3400 Seneca Tpke, Suite 7, Canastota, NY 13032-4632 | 2006-11-27 |
| Street Address |
50 N LAURA ST STE 2560 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32202-3664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505411 | Dialogical Interaction Recovery, Corp. | Substance Abuse Rehabilitation Facility | 515 N. Washington Street, Jacksonville, FL 32202 | 2019-12-11 |
| 1801376629 | Shelletta Baker | Home Delivered Meals | 303 N Laura St, Jacksonville, FL 32202 | 2018-08-21 |
| 1083132591 | Shelia Yvonne Newby | Home Health Aide | 220 Riverside Ave, Unit 404, Jacksonville, FL 32202 | 2017-09-05 |
| 1164728010 | Dina Maria Fedor | Nurse Practitioner | 500 E Adams St, Jacksonville, FL 32202 | 2011-02-09 |
| 1689695611 | Maryam M Pasha | Emergency Medicine | 221 N. Hogan St, 401, Jacksonville, FL 32202 | 2006-07-23 |
| 1629174917 | Jose A Santana | Internal Medicine | 3625 University Blvd S, Emergency Department, Jacksonville, FL 32202 | 2006-09-15 |
| 1518197912 | Pleasant Living Facility, Inc. | Assisted Living Facility | 1543 Hill St, Jacksonville, FL 32202-1405 | 2009-07-20 |
| 1083803647 | Pleasant Living Facility Inc | Assisted Living Facility | 1543 Hill Street, Jax, FL 32202-1405 | 2007-10-19 |
| 1982003745 | Sheila Freeman | Social Worker | 300 E State St, Jacksonville, FL 32202-1601 | 2014-08-18 |
| 1861999625 | Bianca Holcombe | Counselor | 1010 E Adams St Ste 1111013, Jacksonville, FL 32202-1902 | 2018-04-09 |
| Find all providers in zip 32202 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443207 | Cheryl Elaine Dowdell | Licensed Practical Nurse | 1685 Biscayne Bay Cir, Jacksonville, FL 32218-8671 | 2020-09-24 |
| 1295350015 | Derekia Johnson | Licensed Practical Nurse | 8278 Golden Bamboo Dr, Jacksonville, FL 32219-6012 | 2020-06-08 |
| 1265052930 | Cristal Lashonda Daniels | Licensed Practical Nurse | 873 Plumbridge Ct, Jacksonville, FL 32218-6138 | 2020-04-22 |
| 1750917001 | Stacy Patreace Godwin | Licensed Practical Nurse | 7082 Saint Ives Ct, Jacksonville, FL 32244-0300 | 2020-03-19 |
| 1063045433 | Brenda Cherry | Licensed Practical Nurse | 12281 Drift Ct, Jacksonville, FL 32218-0841 | 2020-02-13 |
| 1598396046 | Jennifer Michelle Price | Licensed Practical Nurse | 2400 West Main, Jacksonville, AR 72076 | 2020-02-03 |
| 1619507936 | Cherika Philo | Licensed Practical Nurse | 4320 Sunbeam Rd Apt 219, Jacksonville, FL 32257-8828 | 2020-01-26 |
| 1467013805 | April Yolande Pollard | Licensed Practical Nurse | 1861 Boston Commons Way, Jacksonville, FL 32221-2131 | 2019-06-26 |
| 1184285652 | Cierra Elizabeth Carter | Licensed Practical Nurse | 906 W Monroe St Apt 401, Jacksonville, FL 32204-1184 | 2019-06-25 |
| 1063070480 | Edward Richard Cahill | Licensed Practical Nurse | 6539 Townsend Rd Lot 123, Jacksonville, FL 32244-4370 | 2019-05-31 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32202 |
Please comment or provide details below to improve the information on TRACEY 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.