Eric Quinn Fuqua, RADPSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

297415 Issued in KY

Practice address

3934 Dixie Hwy Ste 210
Louisville, KY 40216-4176

Phone

(859) 691-0929

NPI assigned

Apr 23, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1776902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1902742935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5439 BRUCE AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402144130",
            "telephone_number": "502-492-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3934 DIXIE HWY STE 210",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164176",
            "telephone_number": "859-691-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUQUA",
        "first_name": "ERIC",
        "middle_name": "QUINN",
        "name_prefix": "Mr.",
        "credential": "RADPSS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-04-23",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "KY",
            "license": "297415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Functional Imaging and Assessment of Kentucky PSC
• Functional Therapy, PLLC
• Kelli Carpenter Funk, PHARM.D.
• Natalie Funk
• Christine A. Funkhouser, PT
• Henry Fuqua, CADC
• Jacob Fuqua
• Carolyn Furdek, DPT
• Jamie Michelle Furlong-Dillard, D.O
• Stephen Matthew Furlow I, M.D.

• Peer Specialist in Louisville, KY
• Providers in Louisville, KY by specialty
• Peer Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.