Kim C. Fugarino, AGNP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

218007 Issued in LA

Practice address

42388 Pelican Professional Park
Hammond, LA 70403-2412

Phone

(985) 542-6251

NPI assigned

Apr 19, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kim C. Cortez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DHBICA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Louisiana Hyperbarics

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Hammond, LA
  • NPI 1487002150
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1033790332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42388 PELICAN PROFESSIONAL PARK",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704032412",
            "telephone_number": "855-426-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42388 PELICAN PROFESSIONAL PARK",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704032412",
            "telephone_number": "985-542-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGARINO",
        "first_name": "KIM",
        "middle_name": "C.",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "LA",
            "license": "218007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "CORTEZ",
            "middle_name": "C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tatum Freeman
• Brandy Freire, FNP-BC
• Anne-Marie Fremin, R.N., M.N., F.N.P.
• Bryan Preston Frichter, DDS
• Elizabeth Hazard Fritz, M.D.
• Jordyn Becerra G'Sell, LPC
• Kelsey A Gabourel
• Danielle Gagliano
• Heather Dragg Gagliano, LCSW-BACS, ACSW
• Helen Elizabeth Gaines, MD

• Gerontology Nurse Practitioner in Hammond, LA
• Providers in Hammond, LA by specialty
• Gerontology Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.