KEVIN FITZGERALD (NPI# 1487152633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487152633 |
Entity Type | Individual |
Full Name | KEVIN FITZGERALD |
Credential | PMHNP-BC |
Practice Address |
610 S Burdick St Kalamazoo MI 49007-5221 |
Practice Telephone | 2693813700 |
Practice Fax Number | 2693813810 |
Mailing Telephone | 2693813700 |
Mailing Fax Number | 2693813810 |
Enumeration Date | 2018-01-23 |
Last Update Date | 2019-02-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 4704305891 | MI | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4704305891 | MI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548565682 | Kevin Barry Fitzgerald | Physician Assistant | 915 Wisconsin Ave, Tieton, WA 98947-9802 | 2011-01-21 |
1063745560 | Kevin Robert Fitzgerald | Chiropractor | 14300 Metcalf Ave Ste 103, Overland Park, KS 66223-2906 | 2009-09-15 |
1972564789 | Kevin G Fitzgerald | Physical Therapist | 1013 Wexford Plaza Dr, Wexford, PA 15090-9214 | 2006-03-31 |
1730179243 | Kevin M Fitzgerald | Family Medicine | 191 Theatre Rd, Onalaska, WI 54650-8679 | 2005-10-26 |
1205114519 | Kevin Fitzgerald | Dentist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2011-08-03 |
1891923744 | Kevin Fitzgerald | Family Medicine | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2009-06-30 |
1942329370 | Kevin Patrick Fitzgerald | Internal Medicine | 350 Thomas More Pkwy, Ste 280, Crestview Hills, KY 41017 | 2007-03-28 |
1245263110 | Kevin R Fitzgerald | Family Medicine | 3150 N 12th St, Grand Junction, CO 81506-2863 | 2006-07-07 |
1144281080 | Kevin Edward Fitzgerald | Pain Medicine | 4100 Lake Dr Se, Ste 305, Grand Rapids, MI 49546 | 2006-03-30 |
1194784454 | Kevin P Fitzgerald | Obstetrics & Gynecology | 3455 Main St, Springfield, MA 01107-1187 | 2006-03-23 |
Street Address |
610 S BURDICK ST |
City | KALAMAZOO |
State | MI |
Zip Code | 49007-5221 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689625238 | Randall P Estes | Social Worker | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2006-05-16 |
1588271860 | Liza May | Specialist | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-09-30 |
1528675840 | Amy Boileau | Counselor | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-09-30 |
1366059024 | Sheree Niblack | Specialist | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-09-28 |
1245845759 | Kaylee J Davis | Counselor | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-09-11 |
1568077253 | Nicole Jean Brown | Social Worker | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-09-10 |
1922613769 | Kylie Klomparens | Student in an Organized Health Care Education/Training Program | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-09-09 |
1871108621 | Ellyn Petrino | Student in an Organized Health Care Education/Training Program | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-09-09 |
1548874373 | Carly Dietrich | Social Worker | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-08-31 |
1184237190 | Paige Materi | Social Worker | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-08-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881248342 | Whitney Kiel | Pharmacist | 601 John Street Suite M-020, Kalamazoo, MI 49007 | 2019-08-01 |
1316591571 | Laura Jedele | Physical Therapist | Bronson Healthcare Group, 601 John St, Kalamazoo, MI 49007 | 2019-07-26 |
1992209084 | Yvonne Marie Heltzel | Behavior Technician | 1826 N Rose St, Kalamazoo, MI 49007 | 2018-03-22 |
1396263943 | Travis Todd Turrell | Physician Assistant | 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 | 2017-09-05 |
1619493186 | Sarah Zuspann | Nurse Practitioner | 601 John Street, Suite 100, Kalamazoo, MI 49007 | 2017-08-16 |
1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
1265988901 | Calee Dieleman | Social Worker | 610 South Burdick, Kalamazoo, MI 49007 | 2016-09-01 |
1508313099 | Arriel Julia Ampey | Social Worker | 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 | 2016-09-01 |
1043662745 | Holloway Marston | Psychologist | 717 W South St, Apt. #6, Kalamazoo, MI 49007 | 2016-07-06 |
1205280062 | Bronson At Home | Home Health | 601 John St Ste M-431, Kalamazoo, MI 49007 | 2016-04-19 |
Find all providers in zip 49007 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740621630 | Corinne Ann Overmyer | Nurse Practitioner | 418 West Kalamazoo Ave., Kalamazoo, MI 49007 | 2013-07-09 |
1578105334 | Prabhjot Grewal | Nurse Practitioner | 117 W Paterson St, Kalamazoo, MI 49007-2581 | 2019-10-14 |
1467926592 | Rochelle Edwards-gray | Nurse Practitioner | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2019-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
1588282784 | Mary Tackbary | Nurse Practitioner | 3932 W Briar Hill Dr, Maple City, MI 49664-9521 | 2020-07-14 |
1962032227 | Westlake Consultation Center | Nurse Practitioner | 4870 W Clark Rd Ste 100, Ypsilanti, MI 48197-1104 | 2020-01-24 |
1689211823 | Wanda Edwards | Nurse Practitioner | 29000 Inkster Rd Ste 115, Southfield, MI 48034-1097 | 2019-12-06 |
1508416355 | Stephanie Lauren Marl | Nurse Practitioner | 29800 Adams Dr, Gibraltar, MI 48173 | 2019-09-13 |
1457905614 | Natalie Poole | Nurse Practitioner | 23077 Greenfield Rd Ste 260, Southfield, MI 48075-3745 | 2019-07-26 |
1629535117 | Valerie Baunoch | Nurse Practitioner | 2057 E West Maple Rd, Commerce Twp, MI 48390 | 2019-02-21 |
1790293488 | Infinity Hope Center LLC | Nurse Practitioner | 260 Vinewood St Ste 100a8919, Detroit, MI 48216-1667 | 2018-01-16 |
1033659644 | Anne Zamler | Nurse Practitioner | 14230 W Mcnichols Rd, Detroit, MI 48235-3912 | 2017-03-01 |
1396289120 | Next Level Up Health & Wellness Inc. | Nurse Practitioner | 28423 Parkwood St, Inkster, MI 48141-1669 | 2016-12-13 |
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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.