Kimberly Holliday Fugate

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

173086 Issued in TN

Practice address

410 James Blvd
Signal Mountain, TN 37377-2218

Phone

(423) 991-4630

NPI assigned

Mar 15, 2014

Last updated

Mar 15, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1394841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394841600000",
    "number": "1184040073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 JAMES BLVD",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373772218",
            "telephone_number": "423-991-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 JAMES BLVD",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373772218",
            "telephone_number": "423-991-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGATE",
        "first_name": "KIMBERLY",
        "middle_name": "HOLLIDAY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-15",
        "last_updated": "2014-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "173086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guy Franklin Fain III, M.D.
• Family Medical Therapies, PLLC (Balanced Life MD)
• Foot Essentials LLC
• Kimberly Fortney
• Freedom Medical Services PLLC (Freedom Medical Services TN)
• Sara Phelps Gibson, PT,MPT
• Dalton Rielly Grayson, APRN
• Margaret H. Greene, FNP
• Kaitlyn Elizabeth Louise Greer, MD
• Melissa Leeann Greywitt, FNP

• Registered Nurse in Signal Mountain, TN
• Providers in Signal Mountain, TN by specialty
• Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2014; 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.