KELLY FITZGERALD (NPI# 1801133616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801133616 |
| Entity Type | Individual |
| Full Name | KELLY FITZGERALD |
| Practice Address |
1000 Eddy Street Providence RI 02905 |
| Mailing Address |
400 New River Road Unit 608 Manville RI 02838 |
| Practice Telephone | 4015339100 |
| Mailing Telephone | 4015234347 |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2013-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518502228 | Kelly Fitzgerald | Occupational Therapist | 1100 Sherwood Park Dr Ne Ste 220, Gainesville, GA 30501-3426 | 2019-11-18 |
| 1730565581 | Kelly Fitzgerald | Specialist | 4 Arlington Ave, Saint James, NY 11780-2802 | 2015-08-04 |
| 1114271178 | Kelly Ann Fitzgerald | Physical Therapist | 2150 La Dawn Lane Nw, Atlanta, GA 30318 | 2012-10-30 |
| 1861755613 | Kelly Rose Fitzgerald | Occupational Therapist | 2110 Ben Craig Dr Ste 300, Charlotte, NC 28262-2302 | 2012-06-18 |
| 1659804557 | Kelly Nicole Fitzgerald | Student in an Organized Health Care Education/Training Program | 505 Parnassus Ave Rm M-987, San Francisco, CA 94143-2204 | 2017-04-06 |
| 1477909471 | Kelly Fitzgerald | Student in an Organized Health Care Education/Training Program | 1275 York Ave, New York, NY 10065 | 2016-05-09 |
| 1508260613 | Kelly Fitzgerald | Occupational Therapist | 484 Main St, Worcester, MA 01608-1893 | 2014-10-17 |
| 1184025967 | Kelly Fitzgerald | Counselor | 545 Westminster St, Fitchburg, MA 01420-4727 | 2014-09-11 |
| 1417201641 | Kelly Irene Fitzgerald | Marriage & Family Therapist | 1735 Mission St, San Francisco, CA 94103-2417 | 2012-11-09 |
| 1346516689 | Kelly M Fitzgerald | Pediatrics | 3020 Childrens Way, San Diego, CA 92123-4223 | 2012-03-30 |
| Street Address |
1000 EDDY STREET |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952345282 | Kristine H Rindge | Social Worker | 1000 Eddy Street, Providence, RI 02905 | 2006-06-16 |
| 1124495759 | Jalyn Alves | Specialist | 1000 Eddy Street, Providence, RI 02905 | 2015-08-31 |
| 1780051474 | Ja'net Hall- Jones | Case Manager/Care Coordinator | 1000 Eddy Street, Providence, RI 02905 | 2015-08-28 |
| 1215331251 | Jessica Ann Scialabba | Occupational Therapist | 1000 Eddy Street, Providence, RI 02905 | 2014-10-20 |
| 1144622630 | Gloria Amaral | Interpreter | 1000 Eddy Street, Providence, RI 02905 | 2014-09-16 |
| 1104233733 | Allyson Michaud | Specialist | 1000 Eddy Street, Providence, RI 02905 | 2014-07-15 |
| 1689086829 | Tara Martin | Speech-Language Pathologist | 1000 Eddy Street, Providence, RI 02905 | 2014-05-22 |
| 1851702963 | Kerra Grednuk | Case Manager/Care Coordinator | 1000 Eddy Street, Providence, RI 02905 | 2014-05-12 |
| 1184961807 | Kathryn E Weller | Dietitian, Registered | 1000 Eddy Street, Providence, RI 02905 | 2013-01-15 |
| 1154665834 | Erin Nicole Reams | Physical Therapist | 1000 Eddy Street, Providence, RI 02905 | 2012-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164847380 | Cheryl Mandel | Specialist | 127 Irving Ave Apt 3, Providence, RI 02906-4544 | 2014-02-25 |
| 1962719773 | Megan Elizabeth Gillard | Specialist | 1000 Eddy Sttreet, Providence, RI 02905 | 2010-09-01 |
| 1053642611 | Robert Patrick Bowe | Specialist | 420 Angell St, Providence, RI 02906-4444 | 2010-01-21 |
| 1972832814 | Deborah A. Newell | Specialist | 10000 Eddy Street, Providence, RI 02905 | 2009-12-23 |
| 1669529004 | Jack Morton Monchik | Specialist | 154 Waterman Street, Providence, RI 02906-5713 | 2007-01-05 |
| 1588679385 | Lifespan/physicians Pso Billing Services | Specialist | 167 Point St, Coro 3a, Providence, RI 02903-4771 | 2006-07-30 |
| 1821020231 | Fernanda Goncalves | Specialist | 1000 Eddy Str., Providence, RI 02905 | 2006-07-07 |
| 1437123403 | Rebecca Mary Brown | Specialist | 700 Smith St, Providence, RI 02908 | 2006-02-15 |
| 1861486664 | Martin R Papazian | Specialist | 148 W River St, Suite 2a, Providence, RI 02904-2615 | 2005-09-07 |
| 1558364604 | Marc S Weinberg | Specialist | 1 Randall Sq Ste 304, Providence, RI 02904-2773 | 2005-05-23 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02905 |
Please comment or provide details below to improve the information on KELLY 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.