Active NPI
Kathleen Ann Fuglee, RN, MN, CNS, CDE
- Clinical Nurse Specialist
- Portland, OR
National Provider Identifier
1407123219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- 200270007CNS
- Practice address
- 3710 SW US Veterans Hospital Road
Primary Care Room F 120
Portland, OR 97207-1034 - Phone
- (503) 220-8262
- Fax
- (503) 721-7903
- NPI assigned
- Nov 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 200270007CNS | OR | Primary |
Addresses
Primary practice location
3710 SW US Veterans Hospital Road
Primary Care Room F 120
Portland, OR 97207-1034
Mailing address
3710 SW US Veterans Hospital Road
PO Box 1034
Portland, OR 97207-1034
Phone (503) 220-8262
Other names 1
- Mrs. Kathleen Ann Kaepplinger/Townsend
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)
- Not enrolled
- Credentials
- Certified Nurse Specialist, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200270007CNS | OR | MD | Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321920000000",
"number": "1407123219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3710 SW US VETERANS HOSPITAL ROAD",
"address_2": "PO BOX 1034",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972071034",
"telephone_number": "503-220-8262",
"fax_number": "503-721-7903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 SW US VETERANS HOSPITAL ROAD",
"address_2": "PRIMARY CARE ROOM F 120",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972071034",
"telephone_number": "503-220-8262",
"fax_number": "503-721-7903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUGLEE",
"first_name": "KATHLEEN",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RN, MN, CNS, CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-22",
"last_updated": "2011-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "OR",
"license": "200270007CNS",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "KAEPPLINGER/TOWNSEND",
"middle_name": "ANN",
"prefix": "MRS.",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.