Active NPI
Josiah N Fugate, RN
- Registered Nurse
- Englewood, OH
National Provider Identifier
1447079652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 347999
- Practice address
- 12 W Wenger Rd Ste J
Englewood, OH 45322-2755 - Phone
- (937) 654-8668
- Fax
- (937) 771-0031
- NPI assigned
- Oct 4, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 347999 | OH | |
| Registered Nurse | 163W00000X | 347999 | OH | Primary |
Addresses
Primary practice location
12 W Wenger Rd Ste J
Englewood, OH 45322-2755
Mailing address
12 W Wenger Rd Ste J
Englewood, OH 45322-2755
Phone (937) 654-8668
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 347999 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744329600000",
"number": "1447079652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 W WENGER RD STE J",
"city": "ENGLEWOOD",
"state": "OH",
"postal_code": "453222755",
"telephone_number": "937-654-8668",
"fax_number": "937-771-0031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 W WENGER RD STE J",
"city": "ENGLEWOOD",
"state": "OH",
"postal_code": "453222755",
"telephone_number": "937-654-8668",
"fax_number": "937-771-0031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUGATE",
"first_name": "JOSIAH",
"middle_name": "N",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-04",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "OH",
"license": "347999",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "347999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Englewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.