KELLY FUGATE (NPI# 1629442694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629442694 |
| Entity Type | Individual |
| Full Name | KELLY FUGATE |
| Credential | FNP-C |
| Practice Address |
351 Court St Abingdon VA 24210-2921 |
| Practice Telephone | 2766763360 |
| Practice Fax Number | 2766762170 |
| Mailing Telephone | 2766763360 |
| Mailing Fax Number | 2766762170 |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2017-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024173176 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
20561 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1629442694 | 05 |
| Street Address |
351 COURT ST |
| City | ABINGDON |
| State | VA |
| Zip Code | 24210-2921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942296645 | Emory H Robinette | Internal Medicine | 351 Court St, Abingdon, VA 24210-2921 | 2005-09-27 |
| 1851576474 | Mark Anthony Hodge | Nurse Anesthetist, Certified Registered | 351 Court St, Abingdon, VA 24210-2921 | 2008-01-02 |
| 1548306293 | Nathaniel Jordan Warner | Nurse Anesthetist, Certified Registered | 351 Court St, Abingdon, VA 24210-2921 | 2007-01-29 |
| 1245398791 | Abingdon Physician Partners | Internal Medicine | 351 Court St, Abingdon, VA 24210-2921 | 2006-12-05 |
| 1487739108 | Happy E Smith | Emergency Medicine | 351 Court St, Abingdon, VA 24210-2921 | 2006-10-25 |
| 1124139993 | David W Hale Jr. | Emergency Medicine | 351 Court St, Abingdon, VA 24210-2921 | 2006-08-31 |
| 1093826851 | Sarah S Carrier | Emergency Medicine | 351 Court St, Abingdon, VA 24210-2921 | 2006-08-31 |
| 1467563239 | Douglas Reed Lawler II | Emergency Medicine | 351 Court St, Abingdon, VA 24210-2921 | 2006-08-31 |
| 1205854056 | Johnston Memorial Hospital | Clinical Medical Laboratory | 351 Court St, Abingdon, VA 24210-2921 | 2006-07-18 |
| 1245268010 | Debra A Gang | Nurse Anesthetist, Certified Registered | 351 Court St, Abingdon, VA 24210-2921 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184192890 | Clinton Samuel Steve Webb | Nurse Practitioner | 406 W Main St Ste 100, Abingdon, VA 24210 | 2018-11-12 |
| 1528565801 | Crossroads Treatment Center of Petersburg, PC | Clinic/Center | 301 Falls Dr Nw Ste 353, Abingdon, VA 24210 | 2018-04-12 |
| 1780189035 | Vickie Lynne Beam | Speech-Language Pathologist | Washington County Public Schools, 812 Thompson Drive, Abingdon, VA 24210 | 2018-03-28 |
| 1093235814 | Meagan R Compton | Speech-Language Pathologist | 18596 Lee Hwy Suite B, Abingdon, VA 24210 | 2017-06-22 |
| 1710433404 | Highlands Community Pharmacy Inc | Pharmacy | 16400 Jeb Stuart Highway, Abingdon, VA 24210 | 2016-09-01 |
| 1548632417 | Lauren Irene Esposito | Audiologist | 319 Falls Drive, Abingdon, VA 24210 | 2015-10-30 |
| 1073909784 | Michael Justice | Pharmacist | 1 Food City Circle, Abingdon, VA 24210 | 2015-04-09 |
| 1245574177 | Watauga Medical Group | Family Medicine | 300 Valley St, Ne, Abingdon, VA 24210 | 2012-11-15 |
| 1083908883 | Kimberly Regina Mullins | Occupational Therapy Assistant | 17575 Havens Rest Rd., Abingdon, VA 24210 | 2011-06-09 |
| 1902131170 | Sara Jeannette Creekmore | Family Medicine | 328-a Cummings St., Abingdon, VA 24210 | 2009-10-06 |
| Find all providers in zip 24210 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972158293 | Amberly Rose Smth | Nurse Practitioner | 3349 Cheverly Ct, Abingdon, MD 21009-2854 | 2019-08-04 |
| 1821641655 | Scholastica Bassey | Nurse Practitioner | 3217 Abingdon Rd, Abingdon, MD 21009-1015 | 2019-07-21 |
| 1295388379 | Erika Kaitlyn Bennett | Nurse Practitioner | 16000 Johnston Memorial Dr Ste 212a, Abingdon, VA 24211-7664 | 2019-07-18 |
| 1184192890 | Clinton Samuel Steve Webb | Nurse Practitioner | 406 W Main St Ste 100, Abingdon, VA 24210 | 2018-11-12 |
| 1033695960 | Timothy Jon Lederer | Nurse Practitioner | 320 Foreland Garth, Abingdon, MD 21009-3092 | 2018-07-13 |
| 1205027448 | Justin Mathew Adams | Nurse Practitioner | 613 Campus Dr Ste 200, Abingdon, VA 24210-9700 | 2007-08-05 |
| 1588606651 | Sharon V. Gilbert | Nurse Practitioner | 445 Porterfield Hwy Sw, Suite A, Abingdon, VA 24210-2556 | 2006-06-12 |
| 1548247208 | Mary Garretson Mcclain | Nurse Practitioner | 24530 Falcon Place Blvd Ste 100, Abingdon, VA 24211-7665 | 2005-12-23 |
| 1558350322 | Catrina M Ratliff | Nurse Practitioner | 16000 Johnston Memorial Dr Ste 101, Abingdon, VA 24211-7659 | 2005-10-14 |
| 1982607099 | Eleanor Hess | Nurse Practitioner | 391 Falls Dr Nw, Abingdon, VA 24210-8093 | 2005-05-23 |
| Find all providers in ABINGDON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.