Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katy Fuqua Fuqua

Individual provider Registered Dietitian · NPI 1538730304

Katy Fuqua Fuqua is a Registered Dietitian OR Nutrition Professional in Bristol, Tennessee. Qualified in 2008, 18 years ago. Practices with Nourish, Inc, a 277-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
18
Licensed in
TN
In the registry since
2021

Practice location Address checks out

1019 Florida Ave
Bristol, TN 37620-4015
Phone: (615) 513-8795
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 0000002180 (TN)

Record details

NPI number1538730304
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 2, 2021
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Nourish, Inc. — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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