Nickolas D Fitzgerald, CCHW
Community Health Worker in Hope Valley, Rhode Island
1114719515- Practice location
- 823 Main St, Hope Valley, RI 02832-1920
- Phone
- 401-539-2461
- Fax
- —
- Last updated
- May 23, 2025
Nickolas Desousa Fitzgerald is a Community Health Worker based in Hope Valley, RI. Nickolas Desousa Fitzgerald practices in Hope Valley, RI and has the professional credentials of CCHW. The NPI Number for Nickolas Desousa Fitzgerald is 1114719515 and holds a License No. 200840 (RI). The current practice location address for Nickolas Desousa Fitzgerald is 823 Main St, Hope Valley, RI 02832-1920 and can be reached out via phone at 401-539-2461.
Provider Profile Details
- NPI Number
- 1114719515
- Provider Name
- Nickolas Desousa Fitzgerald
- Credential
- CCHW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 823 Main St, Hope Valley, RI 02832-1920
- Phone Number
- 401-539-2461
- Primary Taxonomy
- Community Health Worker · 172V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 21, 2025
- Last Update Date
- May 23, 2025
- Certification Date
- May 23, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 823 Main St
Hope Valley, RI 02832-1920 - City
- Hope Valley
- State
- Rhode Island
- Zip
- 02832-1920
- Phone Number
- 401-539-2461
Provider Business Mailing Address Details
- Address
- 23 Spencer Dr
Westerly, RI 02891-1289 - City
- Westerly
- State
- RI
- Zip
- 02891-1289
- Phone Number
- 774-328-2195
License Information
- License Number
- 200840
- License State
- RI
- Taxonomy
- Community Health Worker · 172V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Nickolas D Fitzgerald, CCHW?
The NPI number of Nickolas D Fitzgerald, CCHW is 1114719515. It was assigned on May 21, 2025 and is currently active in the NPPES registry.
What is the specialty of Nickolas D Fitzgerald, CCHW?
Nickolas D Fitzgerald, CCHW is registered under the primary taxonomy Community Health Worker (code 172V00000X), licensed in RI under license number 200840.
Where does Nickolas D Fitzgerald, CCHW practice?
The practice location is 823 Main St, Hope Valley, RI 02832-1920. The office can be reached at 401-539-2461 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114719515 directly on the NPPES registry website.