COURTNEY FUGATE


Address: 400 West 16th Street, Pueblo, CO 81003-2745
Phone: 7195952218

COURTNEY FUGATE (NPI# 1962782037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962782037
Entity Type Individual
Full Name COURTNEY FUGATE
Credential APRN
Practice Address 400 West 16th Street
Pueblo
CO 81003-2745
Mailing Address Po Box 560825
Denver
CO 80256-0825
Practice Telephone 7195952218
Practice Fax Number 7195957994
Mailing Telephone 7195957580
Mailing Fax Number 7195450176
Enumeration Date 2011-08-22
Last Update Date 2017-10-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208M00000X Hospitalist C-APN.0000757-C- CO Allopathic & Osteopathic Physicians
Y 363L00000X Nurse Practitioner C-APN.0000757-C- CO Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner 3007065 KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO 9000145670 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1740 Nicholasville Rd, Lexington, KY 405031431 8592606348 8592604350

Office Location

Street Address 400 WEST 16TH STREET
City PUEBLO
State CO
Zip Code 81003-2745

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881899755 Serena M. Ackerman Nurse Anesthetist, Certified Registered 400 West 16th Street, Pueblo, CO 81003-2745 2007-06-19
1790252328 Kimberly Marie Merelman Physician Assistant 400 West 16th Street, Pueblo, CO 81003-2745 2018-11-01
1164875902 Jose Adolfo Gonzalez Villalba Hospitalist 400 West 16th Street, Pueblo, CO 81003-2745 2016-07-18
1225492689 Tanya Luke Reddy Hospitalist 400 West 16th Street, Pueblo, CO 81003-3123 2016-04-11
1457735318 Nisha Deol Internal Medicine 400 West 16th Street, Pueblo, CO 81003 2015-07-10
1184001281 Gabriel Cintron Internal Medicine 400 West 16th Street, Pueblo, CO 81003-2745 2015-04-28
1700270980 Nandini Mehta Hospitalist 400 West 16th Street, Pueblo, CO 81003 2015-03-25
1356688873 Rebekah Moriah Bergemann Registered Nurse 400 West 16th Street, Pueblo, CO 81003 2013-01-04
1336385939 Criselle Elaine Tuckel Clinical Nurse Specialist 400 West 16th Street, Parkview Medical Center, Pueblo, CO 81003 2009-01-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164042016 Sunil Kumar Student in an Organized Health Care Education/Training Program Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 2020-04-21
1497382303 Pueblo Family Dentistry Pllc Dentist 701 N Grand Avenue, Suite B, Pueblo, CO 81003 2020-03-23
1023654241 Elmer A. Villalon, Dmd, LLC Clinic/Center 1225 North Main Street, #207, Pueblo, CO 81003 2019-11-22
1518434349 Mariam Rahim Internal Medicine Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 2018-10-30
1003308222 Julia Mcneice Internal Medicine Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 2018-06-04
1689164857 Jessica Sels Internal Medicine Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 2018-05-14
1700313459 Allison Vigil Occupational Therapist 1600 W. 24th St, Pueblo, CO 81003 2017-05-12
1245682020 Paul S Bongat Internal Medicine 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 2016-07-06
1013368596 Daniel R Long Internal Medicine 411 West 14th Street, Pueblo, CO 81003 2016-06-27
1396195665 Parkview Medical Center General Acute Care Hospital 411 W. 14th St, Pueblo, CO 81003 2016-06-17
Find all providers in zip 81003

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285288977 Megan Jay Warden Nurse Practitioner 2099 W Us Highway 50 Ste 150-b, Pueblo, CO 81008-1665 2019-07-31
1780155929 Renee C Lane Nurse Practitioner 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 2018-12-16
1497178172 Theresa Kuhn Nurse Practitioner 4112 Outlook Blvd Ste 325, Pueblo, CO 81008-1667 2014-01-30
1952579773 Karen Delacruz Nurse Practitioner 902 Lakeview, Pueblo, CO 81004 2008-02-14
1700082021 Christine Marie Cruz Nurse Practitioner 1406 W 17th St, Pueblo, CO 81003-1927 2007-06-24
1063554426 Jay A Balestrieri Nurse Practitioner 400 W 17th St, Pueblo, CO 81003-2649 2007-02-13
1447331830 Deborah Lynn Chase Nurse Practitioner 1925 E Orman Ave Ste 440, Pueblo, CO 81004-3551 2006-10-18
1043276686 Carla R Beswick Nurse Practitioner 4130 N Freeway Rd, Pueblo, CO 81008-2064 2006-04-22
1174124838 Jenna Rawlings Nurse Practitioner 945 Desert Flower Blvd, Pueblo, CO 81001-1181 2020-11-07
1225678261 Jennifer Castro Nurse Practitioner 300 Colorado Ave, Pueblo, CO 81004-2006 2020-01-07
Find all providers in PUEBLO

Competitor

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City PUEBLO
Zip Code 81003

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Dataset Information

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.

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