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MR. YUTIV FUQUA LPN
NPI 1003436361
Licensed Practical Nurse in Huntsville, AL

Active since April 16, 2020
4040 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802(256) 533-1970(256) 532-4112 Get Directions Write a Review

NPPES record last updated: April 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Yutiv Fuqua Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. YUTIV FUQUA LPN (NPI 1003436361) is an individual licensed practical nurse in Huntsville, Alabama, licensed in Alabama (2-066064) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1003436361
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMR. YUTIV FUQUACredential: LPN
Location Address4040 MEMORIAL PKWY SWHuntsville, AL 35802-4364
Mailing Address4040 Memorial Pkwy SwHuntsville, AL 35802-4364 · (256) 533-1970 · Fax (256) 532-4112
Phone(256) 533-1970
Fax(256) 532-4112
Sole ProprietorNo
Enumeration DateApril 16, 2020
NPPES CertifiedApril 16, 2020
✔ NPI 1003436361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in AL · 2-066064
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4040 MEMORIAL PKWY SW, Huntsville, AL 35802
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Other Identifiers 1

Medicaid330000014AL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY DIXON RN
Registered Nurse
4040 MEMORIAL PKWY SW
HUNTSVILLE, AL 35802
Madison County (256) 533-1970
TIFFANY SANDERS
Registered Nurse
4040 MEMORIAL PKWY SW
HUNTSVILLE, AL 35802
Madison County (256) 533-1970
KASEY GALENTINE RN
Registered Nurse
4040 MEMORIAL PKWY SW
HUNTSVILLE, AL 35802
Madison County (256) 734-4688
DR. TREVOR RUDYARD LINDSAY M.D.
Psychiatry & Neurology (Psychiatry)
4040 MEMORIAL PKWY SW
HUNTSVILLE, AL 35802
Madison County (256) 533-1970
ALEXA WEST GENTLE RN-BSN
Registered Nurse (General Practice)
4040 MEMORIAL PKWY SW
HUNTSVILLE, AL 35802
Madison County (256) 533-1970
LOUIS R DIXON LCSW
Social Worker (Clinical)
4040 MEMORIAL PKWY SW
HUNTSVILLE, AL 35802
Madison County (256) 533-1970
BETHANY JOY SANDLIN
Counselor
4040 MEMORIAL PKWY SW
HUNTSVILLE, AL 35802
Madison County (256) 533-1970
BRITTANY LYNN LUCAS RN
Registered Nurse (Psychiatric/Mental Health)
4040 MEMORIAL PKWY SW
HUNTSVILLE, AL 35802
Madison County (256) 533-1970

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yutiv Fuqua's NPI number?

The NPI number for Yutiv Fuqua is 1003436361. It was assigned to this individual provider in the NPPES registry on April 16, 2020.

Where is Yutiv Fuqua located?

Yutiv Fuqua practices at 4040 Memorial Pkwy SW, Huntsville, AL 35802. The listed phone number is (256) 533-1970.

What is Yutiv Fuqua's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Yutiv Fuqua was last updated on April 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.