NPIMap

Individual provider Active NPI

Dennie Lee Fugitt, CRNA

  • Certified Registered Nurse Anesthetist
  • Chewelah, WA
National Provider Identifier
1225199821
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP30006369 Issued in WA
Practice address
2784 Milky Way
North Country Anesthesia
Chewelah, WA 99109-9538
Phone
(509) 935-6225
Fax
(509) 935-6207
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP30006369 WA Primary

Addresses

Primary practice location

2784 Milky Way
North Country Anesthesia
Chewelah, WA 99109-9538

Mailing address

2784 Milky Way
North Country Anesthesia
Chewelah, WA 99109-9538
Phone (509) 935-6225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Roswell Hospital Corporation Past Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
North Country Anesthesia Inc Nurse Anesthetist, Certified Registered PastSince Jun 2, 2009 Accepting new patients
Roswell Clinic Corp Past Accepting new patients
Roswell Hospital Corporation Past Accepting new patients
Clinical Partners PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Providence Health & Service- Washington Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225199821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2784 MILKY WAY",
            "address_2": "NORTH COUNTRY ANESTHESIA",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991099538",
            "telephone_number": "509-935-6225",
            "fax_number": "509-935-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2784 MILKY WAY",
            "address_2": "NORTH COUNTRY ANESTHESIA",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991099538",
            "telephone_number": "509-935-6225",
            "fax_number": "509-935-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGITT",
        "first_name": "DENNIE",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP30006369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chewelah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.