KATIE LYNN FITZGERALD NPI 1205211430

NPI Information

  • NPI: 1205211430
  • Provider Name: KATIE LYNN FITZGERALD
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1333 TAYLOR ST STE 6F
    COLUMBIA, SC
    ZIP 29201
  • Phone: (803) 296-3273

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NPI Details

Katie Lynn Fitzgerald is an acute care nurse practitioner in Columbia, SC with 12 years of experience. Katie Lynn Fitzgerald NPI is 1205211430. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1333 TAYLOR ST STE 6F
COLUMBIA, SC
ZIP 29201-953
Phone: (803) 296-3273
Fax: (803) 296-7061

The NPI 1205211430 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/29/2015 and was last updated on 2/2/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute Care23185TENNESSEENo
2363LA2100XNurse PractitionerAcute Care23338SOUTH CAROLINAYes
3363LA2100XNurse PractitionerAcute CareRN232213GEORGIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1NP6417MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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