Cozetta C Fudge, SOLE CARE PROVIDER

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

License

G01174212 Issued in NE

Practice address

4672 Nebraska Ave
Omaha, NE 68104-1467

Phone

(402) 312-7934

NPI assigned

Jul 7, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Cozetta C Fudge Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1841180429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4672 NEBRASKA AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681041467",
            "telephone_number": "402-312-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4672 NEBRASKA AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681041467",
            "telephone_number": "402-312-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUDGE",
        "first_name": "COZETTA",
        "middle_name": "C",
        "name_prefix": "Miss",
        "credential": "SOLE CARE PROVIDER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": "NE",
            "license": "G01174212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COZETTA",
            "last_name": "FUDGE",
            "middle_name": "C",
            "prefix": "MISS",
            "credential": "SOLE CARE PROVIDER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Fuchs, PT
• Thomas Fuchs, PLMHP, PCMSW, LADC
• Whitney Fuchs, MT-BC
• Kenneth Fuchtman
• Sara Jo Fuchtman, RN
• Carie Marie Fuelberth
• Alberto Fuentes
• Kendy Fuentes
• Monica Fuentes
• Natalie Fuentes

• Attendant Care Provider in Omaha, NE
• Providers in Omaha, NE by specialty
• Attendant Care Provider in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.

Verify at the official NPI Registry.