MS. MICHELLE LATICIA FITZGERALD (NPI# 1528684164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528684164 |
Entity Type | Individual |
Full Name | MS. MICHELLE LATICIA FITZGERALD |
Practice Address |
5631 Adobe Falls Rd Unit B San Diego CA 92120-4656 |
Practice Telephone | 6193825674 |
Mailing Telephone | 6193825674 |
Enumeration Date | 2020-06-19 |
Last Update Date | 2020-06-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | DRIVER LICENSE | B7131883 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275048522 | Michelle Fitzgerald | Nurse Practitioner | 180 South Frontage Rd, Vail, CO 81657 | 2017-12-08 |
1417342767 | Michelle Fitzgerald | Social Worker | 1050 36th St Se Ste 400, Grand Rapids, MI 49508-5581 | 2015-04-03 |
1285278317 | Michelle Kristen Fitzgerald | Registered Nurse | 12 Charles St, Quincy, MA 02169-3602 | 2019-11-01 |
1356767636 | Michelle Helene Fitzgerald | Physical Therapy Assistant | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2014-03-11 |
1508293119 | Michelle Fitzgerald | Occupational Therapist | 150 E Wynnewood Rd, Apt 18l, Wynnewood, PA 19096-1547 | 2013-09-27 |
1386982510 | Michelle Rose Fitzgerald | Registered Nurse | 2550 S Parker Rd, Suite 400, Aurora, CO 80014-1622 | 2013-01-23 |
1124327424 | Michelle Marie Joyce Fitzgerald | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2011-03-25 |
1740239177 | Michelle Pearl Fitzgerald | Physical Therapist | 2950 Cleveland Clinic Blvd, Weston, FL 33331-3609 | 2006-05-10 |
1861469736 | Michelle D Fitzgerald | Nurse Practitioner | 149 North St, Mgha Hospitalist Program-wtvl, Waterville, ME 04901 | 2006-03-01 |
Street Address |
5631 ADOBE FALLS RD UNIT B |
City | SAN DIEGO |
State | CA |
Zip Code | 92120-4656 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
Find all providers in zip 92120 |
Taxonomy Code | 3747A0650X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Attendant Care Provider |
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033724729 | Cinta Latrece Moore | Technician | 12329 Creekview Dr Unit 37, San Diego, CA 92128-6624 | 2020-09-10 |
1598385502 | Leonida Mata Hyman | Technician | 6103 Potomac St, San Diego, CA 92139-1730 | 2020-04-20 |
1437787405 | Joan Bergeon Forney | Technician | 10763 Charbono Ter, San Diego, CA 92131-1506 | 2020-03-27 |
1487290904 | Yvonne Decarlo Simmons | Technician | 3022 Franklin Ave, San Diego, CA 92113-1415 | 2019-11-19 |
1508409772 | Matthew Loran Grile | Technician | 1325 Pacific Hwy Unit 3501, San Diego, CA 92101-2600 | 2019-10-21 |
1497306823 | Shirley Cardinez Rodriguez | Technician | 7715 Wing Span Dr, San Diego, CA 92119-1771 | 2019-09-26 |
1518518018 | Carolyn Frances White | Technician | 4288 Arguello St, San Diego, CA 92103-1506 | 2019-09-25 |
1669023446 | Veronica Madrigal | Technician | 6242 Malcolm Dr, San Diego, CA 92115-5704 | 2019-09-24 |
1851942668 | Bertha Oralia Urias | Technician | 4917 Black Coral Ct, San Diego, CA 92154-8565 | 2019-09-23 |
1649821604 | Juana Elvira Rodriguez | Technician | 12385 Creekview Dr Unit 121, San Diego, CA 92128-6642 | 2019-09-21 |
Find all providers in SAN DIEGO |
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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.