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KIMBERLY FITZGERALD RD
NPI 1992426985
Dietitian, Registered in San Diego, CA

Active since September 07, 2022
3020 CHILDRENS WAY, SAN DIEGO, CA 92123(858) 576-1700 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kimberly Fitzgerald Rd NPPES

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

KIMBERLY FITZGERALD RD (NPI 1992426985) is an individual dietitian, registered in San Diego, California, licensed in California (86170812) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1992426985
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKIMBERLY FITZGERALDCredential: RD
Location Address3020 CHILDRENS WAYSan Diego, CA 92123-4223
Mailing Address4781 Orchard AveSan Diego, CA 92107-3534 · (774) 270-3207
Phone(858) 576-1700
Sole ProprietorNo
Enumeration DateSeptember 7, 2022
NPPES CertifiedSeptember 7, 2022
✔ NPI 1992426985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in CA · 86170812
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
3020 CHILDRENS WAY, San Diego, CA 92123
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Fitzgerald Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Fitzgerald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeast Alaska Regional Health Consortium
1,709 mi
Clinic/Center
SUNRISE LODGE
Edna Bay, AK 99901
  • Reassigned Medicare billing, Texas enrollment
  • 640 clinicians in this Medicare group
NPI 1518403906 (907) 874-4700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. NATALIE E. ELLINGTON MD
Pathology (Pediatric Pathology)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-5944
SHANNA MICHAEL MILLER-NABAS RDN
Physician Assistant
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 576-1700
DR. ADRIANA HERRERA TREMOULET M.D.
Pediatrics (Pediatric Infectious Diseases)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-7785
LORI MCCURDY M.S., CCC-SLP
Speech-Language Pathologist
3020 CHILDRENS WAY, MC5010
SAN DIEGO, CA 92123
San Diego County (858) 968-5838
MS. ANN M SUMIDA-JOHNSON M.A..
Audiologist
3020 CHILDRENS WAY, MC 5010
SAN DIEGO, CA 92123
San Diego County (858) 966-5838
RICHARD JOHN NEWTON M.D.
Pediatrics
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-8036
DR. SHAHFAR KHAN M.D.
Pediatrics (Pediatric Emergency Medicine)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-8800
CARLY BETH WELCH CPNP-AC
Nurse Practitioner (Pediatrics)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-8800

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 Kimberly Fitzgerald's NPI number?

The NPI number for Kimberly Fitzgerald is 1992426985. It was assigned to this individual provider in the NPPES registry on September 7, 2022.

Where is Kimberly Fitzgerald located?

Kimberly Fitzgerald practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 576-1700.

What is Kimberly Fitzgerald's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Kimberly Fitzgerald enrolled in Medicare?

Yes. Kimberly Fitzgerald is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Fitzgerald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Fitzgerald reassigns Medicare benefits to Southeast Alaska Regional Health Consortium (Edna Bay, AK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Fitzgerald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Fitzgerald accept?

Health plans from Anthem Blue Cross and Blue Shield list Kimberly Fitzgerald as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Fitzgerald was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.