Deborah A Fogg, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP60749062 Issued in WA

Practice address

510 E Amende Dr
Odessa, WA 99159-7003

Phone

(509) 982-2614

Fax

(509) 982-2675

NPI assigned

Feb 4, 2013

Last updated

Sep 19, 2025By 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 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA, KY2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spokane Emergency Physicians PSGroup PAC ID 8527050731, 43 clinicians

Kentucky Em-I Medical Services PSCGroup PAC ID 8325001175, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054
• King's Daughters' Medical Center Hospital, Ashland, KY, CCN 180009

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Kentucky Em-I Medical Services PSC

  • Emergency Medicine Physician
  • Ashland, KY
  • NPI 1356848121

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Spokane Emergency Physicians, PS

  • Emergency Medicine Physician
  • Spokane, WA
  • NPI 1235147117
  Medicare reassignment Care Compare group
• Garfield County Memorial Hospital District

  • Rural Health Clinic/Center
  • Pomeroy, WA
  • NPI 1114028693
  Medicare reassignment NPD
• Community Medical Associates, Inc.

  • Multi-Specialty Clinic/Center
  • Louisville, KY
  • NPI 1306983762

  Nurse Practitioner

  Medicare reassignment NPD
• Garfield County Memorial Hospital District

  dba Memory Manor

  • Skilled Nursing Facility
  • Pomeroy, WA
  • NPI 1023119500
  NPD
• Garfield County Memorial Hospital District

  dba Garfield County Public Hospital District 1

  • Critical Access Hospital
  • Pomeroy, WA
  • NPI 1255429957
  NPD
• Community Medical Associates, Inc.

  dba Norton Emergency Medicine

  • Emergency Medicine Physician
  • Louisville, KY
  • NPI 1679275440

  Nurse Practitioner

  NPD
• Community Medical Associates, Inc.

  dba Norton Community Medical Associates

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1881192409

  Nurse Practitioner

  NPD
• Lincoln County Public Hospital District 1

  dba Odessa Rural Health Clinic

  • Rural Health Clinic/Center
  • Odessa, WA
  • NPI 1023122520
  NPD (past)
• Providence Health & Services - Wa

  dba Prov Scred Hrt Med Ctr & Chlds Hos

  • General Acute Care Hospital
  • Spokane, WA
  • NPI 1144471715
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health & Services - Wa

  dba Prov Scred Hrt Med Ctr & Chlds Hos

  • General Acute Care Hospital
  • Spokane, WA
  • NPI 1144471715
  Care Compare affiliation
• Ashland Hospital Corporation

  dba Kings Daughters Medical Center

  • General Acute Care Hospital
  • Ashland, KY
  • NPI 1851346720
  Care Compare affiliation

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1558600015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 SARGENT RD",
            "city": "ARGILLITE",
            "state": "KY",
            "postal_code": "411218424",
            "telephone_number": "985-264-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E AMENDE DR",
            "city": "ODESSA",
            "state": "WA",
            "postal_code": "991597003",
            "telephone_number": "509-982-2614",
            "fax_number": "509-982-2675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 Marguerite St",
            "address_purpose": "LOCATION",
            "city": "Morgan City",
            "state": "LA",
            "postal_code": "703801855",
            "country_code": "US",
            "telephone_number": "800-893-9698 x1254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 Marguerite St",
            "address_purpose": "LOCATION",
            "city": "Morgan City",
            "state": "LA",
            "postal_code": "703801855",
            "country_code": "US",
            "telephone_number": "800-893-9698 x1254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "617 23rd St",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411012880",
            "country_code": "US",
            "telephone_number": "606-408-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOGG",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "RN083436",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4025615",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60749062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dfoggrn@bellsouth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "617 23rd St",
            "city": "Ashland",
            "state": "KY",
            "country_code": "US",
            "postal_code": "411012880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marlene K Brendell, ARNP
• Condon Dental Services (Odessa Dental Clinic)
• James T. Dedeaux Jr., MSW
• Eldridge Chiropractic PS
• Troy D. Eldridge Sr., D.C.
• Daniel Glaze, ARNP
• Gregg Liedtka DMD PLLC (Odessa Dental Clinic)
• Lincoln County Public Hospital District 1 (Odessa Rural Health Clinic)
• Lincoln County Public Hospital District 1 (Odessa Memorial Healthcare Center)
• Lincoln County Public Hospital District 1 (Quail Court)

• Family Nurse Practitioner in Odessa, WA
• Providers in Odessa, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.