MRS. MARY G FITZGERALD ANP
NPI 1033224472
Nurse Practitioner - Pediatrics in Berkeley, MO

Active since August 19, 2006
6121 N HANLEY RD, BERKELEY, MO 63134(314) 615-0600(314) 615-8303 Get Directions Write a Review

NPPES record last updated: September 25, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Mary G Fitzgerald Anp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY G FITZGERALD ANP (NPI 1033224472) is an individual pediatrics provider in Berkeley, Missouri, licensed in Missouri (065417) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1033224472
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. MARY G FITZGERALDCredential: ANP
Location Address6121 N HANLEY RDBerkeley, MO 63134-2003
Mailing Address6121 N Hanley RdBerkeley, MO 63134-2003 · (314) 615-0600 · Fax (314) 615-8303
Fax(314) 615-8303
Sole ProprietorNo
Enumeration DateAugust 19, 2006
Last NPPES UpdateSeptember 25, 2012
NPI 1033224472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in MO · 065417
6121 N HANLEY RD, Berkeley, MO 63134

Other Identifiers 3

Medicaid425013323MO
Medicare UPINP61676MO
Medicare ID-Type Unspecified812940753MO

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Health Educator
6121 N HANLEY RD
BERKELEY, MO 63134
Dentist (General Practice)
6121 N HANLEY RD
BERKELEY, MO 63134
Dietitian, Registered
6121 N HANLEY RD
SAINT LOUIS, MO 63134
Social Worker (Clinical)
6121 N HANLEY RD
SAINT LOUIS, MO 63134
Dietitian, Registered
6121 N HANLEY RD
BERKELEY, MO 63134
Clinic/Center (Federally Qualified Health Center (FQHC))
6121 N HANLEY RD
BERKELEY, MO 63134
Prevention Professional
6121 N HANLEY RD
BERKELEY, MO 63134
Health Educator
6121 N HANLEY RD
SAINT LOUIS, MO 63134

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Fitzgerald's NPI number?

The NPI number for Mary Fitzgerald is 1033224472. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Mary Fitzgerald located?

Mary Fitzgerald practices at 6121 N Hanley Rd, Berkeley, MO 63134. The listed phone number is (314) 615-0600.

What is Mary Fitzgerald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Mary Fitzgerald was last updated on September 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.