KELLI AMANDA FUGATE
NPI 1023845120
Licensed Practical Nurse in Maybee, MI

Active since September 14, 2024
7755 FREDERICK ST, MAYBEE, MI 48159(734) 217-9694 Get Directions Write a Review

NPPES record last updated: September 14, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kelli Amanda Fugate NPPES

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

KELLI AMANDA FUGATE (NPI 1023845120) is an individual licensed practical nurse in Maybee, Michigan, licensed in Michigan (4703125158) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1023845120
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKELLI AMANDA FUGATE
Location Address7755 FREDERICK STMaybee, MI 48159-9697
Mailing Address7755 Frederick StMaybee, MI 48159-9697 · (734) 217-9694
Sole ProprietorYes
Enumeration DateSeptember 14, 2024
NPPES CertifiedSeptember 14, 2024
✔ NPI 1023845120 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 MI · 4703125158
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.
7755 FREDERICK ST, Maybee, MI 48159

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 Kelli Fugate's NPI number?

The NPI number for Kelli Fugate is 1023845120. It was assigned to this individual provider in the NPPES registry on September 14, 2024.

Where is Kelli Fugate located?

Kelli Fugate practices at 7755 Frederick St, Maybee, MI 48159. The listed phone number is (734) 217-9694.

What is Kelli Fugate'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 Kelli Fugate was last updated on September 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.