EDNECIA FITZPATRICK NPI 1205439841

NPI Information

NPI: 1205439841
Provider Name: EDNECIA FITZPATRICK
Classification: Respite Care - 385H00000X
Entity Type: Individual
Address:
6107 BROADWING RD
TRUSSVILLE, AL
ZIP 35173
Phone: (404) 442-5001
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Ednecia Fitzpatrick is a respite care in Trussville, AL. Ednecia Fitzpatrick NPI is 1205439841. 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:

6107 BROADWING RD
TRUSSVILLE, AL
ZIP 35173-314
Phone: (404) 442-5001

The enumeration date for this NPI number is 11/17/2020 and was last updated on 11/17/2020.

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	Primary
1	172A00000X	Driver		No
2	251E00000X	Home Health		No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
4	343900000X	Non-emergency Medical Transport (VAN)		No
5	376G00000X	Nursing Home Administrator		No
6	385H00000X	Respite Care		Yes

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
1	85-1764905	MEDICAID	ALABAMA

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: 4/28/2024

NPI Synchronization or Removal

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