Individual provider Active NPI

Fairlena Kaye Fugate, D.C.

  • Chiropractor
  • Hazard, KY
National Provider Identifier
1285602011
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4580 Issued in KY
Practice address
100 Veterans Dr
Hazard, KY 41701-9483
Phone
(606) 439-3399
Fax
(606) 487-9280
NPI assigned
Mar 9, 2006
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8163 FL
Chiropractor 111N00000X 4580 KY Primary

Addresses

Primary practice location

100 Veterans Dr
Hazard, KY 41701-9483

Mailing address

100 Veterans Dr
Hazard, KY 41701-9483
Phone (606) 439-3399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060118000228 KY Practitioner - Chiropractic 9133104193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fugate Family Chiropractic PSCGroup PAC ID 4688659642, 3 clinicians

Practice addresses (Care Compare)

100 Veterans Dr
Hazard, KY 41701-9483
Phone (606) 439-3399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8163FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Center LLC CurrentSince Nov 2, 2010 Accepting new patients
Fugate Family Chiropractic PSC Chiropractor CurrentSince Nov 2, 2010 Accepting new patients

Locations

100 Veterans Dr
Hazard, KY 41701
Phone (606) 439-3399

3123 N KY Highway 15
#1
Hazard, KY 41701
Phone (606) 439-3399

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bluegrass Home Health CareCynthiana, KY, CCN 187055 Home health agency Corporate Director Jan 1, 2024
Mountain Community HospiceHazard, KY, CCN 181526 Hospice Corporate Director Jan 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1285602011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VETERANS DR",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019483",
            "telephone_number": "606-439-3399",
            "fax_number": "606-487-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VETERANS DR",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019483",
            "telephone_number": "606-439-3399",
            "fax_number": "606-487-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGATE",
        "first_name": "FAIRLENA",
        "middle_name": "KAYE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8163",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

Verify at the official NPI Registry.