Pamela Denise Fuqua, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

23935 Issued in TN

Practice address

1227 Sanbyrn Dr
Cordova, TN 38018-6590

Phone

(901) 737-8068

NPI assigned

Apr 2, 2018

Last updated

Apr 2, 2018By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1255837001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 SANBYRN DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186590",
            "telephone_number": "901-737-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 SANBYRN DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186590",
            "telephone_number": "901-737-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUQUA",
        "first_name": "PAMELA",
        "middle_name": "DENISE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "23935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2395",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terkessa Frison, LMSW
• Liusong Jason Fu, M.D.
• Kayla Aariana Fuller
• Functional Independence Home Care, Inc
• Melissa Fuqua, MA-CCC-SLP
• Ranjula Gadhock
• Cynthia Gaia
• Jessica Ann Gaines Osborn, LPC-MHSP, NCC
• Michael Wayne Gaither, D.D.S.
• Jordan Micaela Galloway, DPT

• Family Nurse Practitioner in Cordova, TN
• Providers in Cordova, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.