ROSANNE FITZGERALD (NPI# 1871840868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871840868 |
| Entity Type | Individual |
| Full Name | ROSANNE FITZGERALD |
| Credential | FNP-BC |
| Practice Address |
700 S J St Lake Health Clinic Lakeview OR 97630-1623 |
| Practice Telephone | 5419478113 |
| Practice Fax Number | 5419478109 |
| Mailing Telephone | 5419478113 |
| Mailing Fax Number | 5419478109 |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2016-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
22114 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201250108NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
700 S J ST LAKE HEALTH CLINIC |
| City | LAKEVIEW |
| State | OR |
| Zip Code | 97630-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851399695 | Lake Health District | Medicare Defined Swing Bed Unit | 700 S J St, Lakeview, OR 97630-1623 | 2005-07-13 |
| 1942815071 | Amron L Lym | Physical Therapist | 700 S J St, Lakeview, OR 97630-1623 | 2020-09-15 |
| 1538774062 | Jedediah James Adams | Physical Therapist | 700 S J St, Lakeview, OR 97630-1623 | 2020-09-11 |
| 1649889148 | Mesa Greenfield | Registered Nurse | 700 S J St, Lakeview, OR 97630-1623 | 2020-07-30 |
| 1821615584 | Joseph D Hermann | Social Worker | 700 S J St, Lakeview, OR 97630-1623 | 2020-06-29 |
| 1063075406 | Julia Snedigar | Speech-Language Pathologist | 700 S J St, Lakeview, OR 97630-1623 | 2019-04-22 |
| 1003238668 | Ellen Edith Mouser | Nurse Practitioner | 700 S J St, Lakeview, OR 97630-1623 | 2014-01-15 |
| 1821428442 | Erin Danielle Steward | Physician Assistant | 700 S J St, Lakeview, OR 97630-1623 | 2013-11-18 |
| 1932479201 | Lake District Hospital Physicians Group | General Acute Care Hospital | 700 S J St, Lakeview, OR 97630-1623 | 2012-01-04 |
| 1184935876 | Matthew Christopher Foster | Family Medicine | 700 S J St, Lakeview, OR 97630 | 2010-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891186326 | Susan Ann Mungarro | Counselor | 215 North G Street, Lakeview, OR 97630 | 2015-02-05 |
| 1699183236 | Lake Health District | Clinic/Center | 700 South J St, Lakeview, OR 97630 | 2014-07-28 |
| 1912059569 | Howards Pharmacy Inc | Pharmacy | 101 North F St, Lakeview, OR 97630 | 2007-01-16 |
| 1316056120 | Michael Sabin Dmd PC | Dentist | 733 N 1st Street, Lakeview, OR 97630 | 2006-08-29 |
| 1174586564 | Donald Frank Ott | Nurse Anesthetist, Certified Registered | 700 S J, Lakeview, OR 97630 | 2006-04-08 |
| 1760922033 | Darrel Kyniston Kyniston | Counselor | 215 North G Street, Lakeview, OR 97630 | 2017-03-06 |
| 1518376722 | Lakeview Gardens LLC | Skilled Nursing Facility | 700 South J St, Lakeview, OR 97630 | 2014-08-13 |
| 1457407264 | Angelyn Ray | Social Worker | 100 N. D Street, Office # 208 The Marius Building, Lakeview, OR 97630-0000 | 2007-01-25 |
| 1003823790 | Mary Juree Anderson | Registered Nurse | 530 Sunset, Lakeview, OR 97630-0032 | 2006-08-02 |
| 1225232663 | Barbara Joanne Vandenberg | Counselor | Po Box 948, Lakeview, OR 97630-0037 | 2007-06-11 |
| Find all providers in zip 97630 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144376294 | Lesa L Cahill | Nurse Practitioner | 620 S J St, Lakeview, OR 97630-1680 | 2007-01-25 |
| 1659748259 | Melissa Joye Wilson | Nurse Practitioner | 418 Washington St, Lakeview, MI 48850-7102 | 2015-08-31 |
| 1588943864 | Debra Ruth House | Nurse Practitioner | 420 N Lincoln Ave, Lakeview, MI 48850-8500 | 2011-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484631 | Dana Marie Hampton | Nurse Practitioner | 2474 Sw Perkins Ave, Pendleton, OR 97801-4302 | 2020-10-13 |
| 1730796525 | Eden Fair | Nurse Practitioner | 841 E Cascade Ave, Sisters, OR 97759-5014 | 2020-09-25 |
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1548870306 | Virtual Recovery | Nurse Practitioner | 1038 Heathrow Dr, Eugene, OR 97402-1585 | 2020-08-06 |
| 1174148969 | Martina D Ford | Nurse Practitioner | 9370 Sw Greenburg Rd Ste 200, Tigard, OR 97223-5421 | 2020-06-08 |
| 1134740152 | South Coast Healthcare LLC | Nurse Practitioner | 29641 Ellensburg Ave, Gold Beach, OR 97444-8701 | 2020-04-30 |
| 1124657887 | Shelly Prather | Nurse Practitioner | 350 Wheeler St, Lebanon, OR 97355-4349 | 2020-04-05 |
| 1811521586 | Valorine Tsopmoh Tsopmoh | Nurse Practitioner | 924 Se Sacha Pl, Hillsboro, OR 97123-4685 | 2020-03-02 |
| 1174163356 | Erika Nichole Adams | Nurse Practitioner | 180 Ford Rd., John Day, OR 97845 | 2020-01-15 |
| 1568002749 | Ya-chi Claire Chang | Nurse Practitioner | 1229 1890 Waite St #1, North Bend, OR 97459 | 2020-01-15 |
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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.