Provider Type Icon

MARY FITZGERALD CRNA NPI 1700842044


NPI Information

NPI: 1700842044
Provider Name: MARY FITZGERALD, CRNA
Classification: Registered Nurse - 163W00000X
Entity Type: Individual
Organization: CARILION PROFESSIONAL SERVICES LLC Address:
1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014
Phone: (540) 981-7000
Get Directions

Mary Fitzgerald, CRNA is a registered nurse in Roanoke, VA with 47 years of experience. The provider is (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. Mary Fitzgerald, CRNA NPI is 1700842044. 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:

1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014-838
Phone: (540) 981-7000

The enumeration date for this NPI number is 4/25/2006 and was last updated on 10/28/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1367500000XNurse Anesthetist, Certified Registered0024-052910VIRGINIANo
2163W00000XRegistered Nurse0001-052910VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1R81329MEDICARE UPIN
28940649MEDICAIDVIRGINIA
38940657MEDICAIDVIRGINIA
48940711MEDICAIDVIRGINIA
58940631MEDICAIDVIRGINIA
6430001873MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA
78940720MEDICAIDVIRGINIA
8430001873MEDICARE PINVIRGINIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.