BRIANA FUGITT (NPI# 1285031476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285031476 |
| Entity Type | Individual |
| Full Name | BRIANA FUGITT |
| Credential | MS, ATC/LAT |
| Practice Address |
10730 Nall Ave Suite 200 Overland Park KS 66211-1366 |
| Practice Telephone | 9139459820 |
| Practice Fax Number | 9135741392 |
| Mailing Telephone | 9139459820 |
| Mailing Fax Number | 9135741392 |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 24-00861 | KS | Managed Care Organizations |
| Street Address |
10730 NALL AVE SUITE 200 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66211-1366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851066 | Brian L Mccroskey | Surgery | 10730 Nall Ave, Ste 101, Overland Park, KS 66211-1242 | 2005-06-20 |
| 1114465457 | Elizabeth Bertschy | Nurse Practitioner | 10730 Nall Ave, Suite 101, Overland Park, KS 66211-1366 | 2017-02-07 |
| 1215489034 | Shannon Zolla | Specialist/Technologist | 10730 Nall Ave, Overland Park, KS 66211-1366 | 2016-10-27 |
| 1265816755 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 10730 Nall Ave, Suite 100, Overland Park, KS 66211-1366 | 2015-07-14 |
| 1225435464 | Ryan Sloop | Specialist/Technologist | 10730 Nall Ave, Suite 200, Overland Park, KS 66211-1366 | 2014-12-03 |
| 1336546555 | Suzanna Butz | Point of Service | 10730 Nall Ave, 200, Overland Park, KS 66211-1366 | 2014-12-03 |
| 1629319363 | Jennifer Dawn Sherrick | Nurse Practitioner | 10730 Nall Ave, Ste 101, Overland Park, KS 66211-1366 | 2013-03-05 |
| 1063758191 | Physicians Reference Laboratory LLC | Pathology | 10730 Nall Ave, Ste 100, Overland Park, KS 66211-1366 | 2012-12-18 |
| 1174867998 | Matthew Blair Way | Specialist/Technologist | 10730 Nall Ave, Suite 200, Overland Park, KS 66211-1366 | 2012-11-16 |
| 1003161548 | Allyson Dibert Lenz | Nurse Practitioner | 10730 Nall Ave, Suite 200, Overland Park, KS 66211 | 2012-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
| 1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
| 1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
| 1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
| 1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
| 1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
| Find all providers in zip 66211 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427350339 | Stephanie M Revels Md Pa | Point of Service | 8249 W 95 Th Street, Suite 108, Overland Park, KS 66212-3200 | 2010-11-29 |
| 1336546555 | Suzanna Butz | Point of Service | 10730 Nall Ave, 200, Overland Park, KS 66211-1366 | 2014-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558734012 | Sonnya Natria Adams | Point of Service | 8722 Longlake Circle, Wichita, KS 67207 | 2015-11-05 |
| 1124419676 | Jessica Reding | Point of Service | 11325 230th St, Linwood, KS 66052-4120 | 2015-02-05 |
| 1811276405 | Evergreen Wellnes Center | Point of Service | 9235 E Harry St, Wichita, KS 67207-5073 | 2011-08-12 |
| 1457666927 | Recovery Services Council Inc. | Point of Service | 1611 South Rutan, Wichita, KS 67218 | 2010-08-09 |
| 1902023732 | Eyeworks Eyewear Shoppe | Point of Service | 245 N Hillside St, Wichita, KS 67214-4903 | 2007-04-20 |
| 1003958273 | Haven Supports, LLC | Point of Service | 920 E 8th St, Pittsburg, KS 66762-4302 | 2007-02-13 |
| 1871948497 | Sttt Dental Services LLC Corp | Point of Service | 120 W Osage St, Sedan, KS 67361-1518 | 2016-05-02 |
| 1669856720 | Emerald Senior Living | Point of Service | 1226 S Byron Rd, Wichita, KS 67209-1812 | 2015-07-17 |
| 1528454220 | Synatec Neuro, Inc | Point of Service | 4601 E Douglas Ave, Suite 116, Wichita, KS 67218-1031 | 2015-04-09 |
| 1124386529 | Kaw Valley Hearing LLC | Point of Service | 1520 Wakarusa Dr, Suite B, Lawrence, KS 66047-1802 | 2012-04-24 |
| Find all providers with the same taxonomy | ||||
| City | OVERLAND PARK |
| Zip Code | 66211 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.