Kelly Lynn Fugok, RD

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

DN002918 Issued in PA

Practice address

100 N Academy Ave # MC15-09
Danville, PA 17822-0001

Phone

(570) 214-3223

Fax

(570) 271-7805

NPI assigned

Oct 11, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO, NJ, AZ3 enrollments

Enrollment records 3

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kfugok90218@direct.geisinger.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Season Clinical Care NJ PC

  • Registered Dietitian
  • Parsippany, NJ
  • NPI 1700693348

  Dietitian, Registered

  Medicare reassignment NPD
• Season Clinical Care P.a.

  • Registered Dietitian
  • Irving, TX
  • NPI 1649933565

  CO, Dietitian, Registered

  Medicare reassignment NPD
• Surely Health, Inc.

  • Registered Dietitian
  • Irving, TX
  • NPI 1053078360

  AZ, Dietitian, Registered

  Medicare reassignment NPD
• H-E-B, LP

  • Community/Retail Pharmacy
  • Austin, TX
  • NPI 1073622411
  NPD (past)

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1851643100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GEISINGER MEDICAL CTR",
            "address_2": "100 NORTH ACADEMY AVENUE, MC 15-09",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178220001",
            "telephone_number": "570-214-3223",
            "fax_number": "570-271-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE # MC15-09",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178220001",
            "telephone_number": "570-214-3223",
            "fax_number": "570-271-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGOK",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN002918",
            "primary": false
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "PA",
            "license": "DN002918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kfugok90218@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 N Academy Ave # Mc15-09",
            "city": "Danville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "178220001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joy Mildred Fritz, RN
• Monica Froicu
• Frank Bernard Fromowitz, M.D.
• Tammy Ann Fronzaglia, PH.D.
• Kerrianne Fry, MS
• Lisa Miller Fuller
• Brant R. Fulmer, M.D.
• Shannon N. Fulmer, PA-C
• Randy Fulton, PSY.D
• Michael Gabe

• Pediatric Nutrition Registered Dietitian in Danville, PA
• Providers in Danville, PA by specialty
• Pediatric Nutrition Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.