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KOKETA FITZGERALD
NPI 1750994364
Technician - Personal Care Attendant in Bluefield, WV

Active since August 25, 2020
239 ELLIS ST, BLUEFIELD, WV 24701(304) 922-9557 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 10, 2023, Aug 25, 2020 (2 updates tracked since 2020).

About Koketa Fitzgerald NPPES

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

KOKETA FITZGERALD (NPI 1750994364) is an individual personal care attendant in Bluefield, West Virginia and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1750994364
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameKOKETA FITZGERALD
Location Address239 ELLIS STBluefield, WV 24701-3653
Mailing Address239 Ellis StBluefield, WV 24701-3653 · (304) 922-9557
Phone(304) 922-9557
Sole ProprietorNo
Enumeration DateAugust 25, 2020
Last NPPES UpdateJanuary 10, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2023
✔ NPI 1750994364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
239 ELLIS ST, Bluefield, WV 24701
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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 Koketa Fitzgerald's NPI number?

The NPI number for Koketa Fitzgerald is 1750994364. It was assigned to this individual provider in the NPPES registry on August 25, 2020.

Where is Koketa Fitzgerald located?

Koketa Fitzgerald practices at 239 Ellis St, Bluefield, WV 24701. The listed phone number is (304) 922-9557.

What is Koketa Fitzgerald's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Koketa Fitzgerald was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.