Active NPI
Patricia Lynn Fugate, RN
- Religious Nonmedical Nursing Personnel
- Cincinnati, OH
National Provider Identifier
1760448625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Religious Nonmedical Nursing Personnel
- License
- RN190056
- Practice address
- 612 Brantner LN
Cincinnati, OH 45244-1541 - Phone
- (513) 528-7594
- Fax
- (513) 528-7594
- NPI assigned
- Apr 20, 2006
- 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 |
|---|---|---|---|---|
| Religious Nonmedical Nursing Personnel | 374T00000X | RN190056 | OH | Primary |
Addresses
Primary practice location
612 Brantner LN
Cincinnati, OH 45244-1541
Mailing address
612 Brantner LN
Cincinnati, OH 45244-1541
Phone (513) 528-7594
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2082919 | Medicaid | OH |
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 |
|---|---|---|---|
| RN190056 | OH | MD | Religious Nonmedical Nursing Personnel |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760448625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 BRANTNER LN",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452441541",
"telephone_number": "513-528-7594",
"fax_number": "513-528-7594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 BRANTNER LN",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452441541",
"telephone_number": "513-528-7594",
"fax_number": "513-528-7594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUGATE",
"first_name": "PATRICIA",
"middle_name": "LYNN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "374T00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Nursing Personnel",
"state": "OH",
"license": "RN190056",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2082919",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.