Individual provider Active NPI

Cynthia Anne Fugatt

  • Mental Health Counselor
  • Tulsa, OK
National Provider Identifier
1639402894
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00000000 Issued in OK
Practice address
2725 E Skelly Dr
SW 202
Tulsa, OK 74105-6241
Phone
(918) 382-7300
Fax
(918) 382-7302
NPI assigned
Sep 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 00000000 OK Primary

Addresses

Primary practice location

2725 E Skelly Dr
SW 202
Tulsa, OK 74105-6241

Mailing address

6720 S Peoria Ave Apt 823
Tulsa, OK 74136-3648
Phone (918) 794-4296

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

State licenses

LicenseStateTypeSpecialty
00000000OKMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252022400000",
    "number": "1639402894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 S PEORIA AVE APT 823",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363648",
            "telephone_number": "918-794-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 E SKELLY DR",
            "address_2": "SW 202",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056241",
            "telephone_number": "918-382-7300",
            "fax_number": "918-382-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGATT",
        "first_name": "CYNTHIA",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-04",
        "last_updated": "2009-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "00000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.