LISA FULTON (NPI# 1043827348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043827348 |
| Entity Type | Individual |
| Full Name | LISA FULTON |
| Practice Address |
119 Praetorian Ct Wilmington OH 45177-9010 |
| Practice Telephone | 9376720581 |
| Mailing Telephone | 9376720581 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0225898 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083896997 | Lisa Marie Fulton | Registered Nurse | 5471 Hampton Ct, Unit D, Willoughby, OH 44094 | 2007-12-03 |
| 1568820397 | Lisa Marie Fulton | Social Worker | 8640 Eagle Creek Cir, Savage, MN 55378-4400 | 2016-02-08 |
| 1326376245 | Lisa Fulton | Social Worker | 8000 W 127th St, Overland Park, KS 66213-2714 | 2009-12-04 |
| 1033152566 | Lisa L Fulton | Physical Therapist | 6202 Cerulean Ave, Garden Grove, CA 92845-2756 | 2006-06-13 |
| Street Address |
119 PRAETORIAN CT |
| City | WILMINGTON |
| State | OH |
| Zip Code | 45177-9010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710542220 | Kratzer Pharmacy Inc. | Pharmacy | 187 W Locust St, Wilmington, OH 45177 | 2019-05-09 |
| 1639642754 | Jerrica Kimber Smith | Physical Therapy Assistant | 175 Cape May Dr., Therapy Suite, Wilmington, OH 45177 | 2019-01-11 |
| 1083187280 | Heather Freytag | Physical Therapy Assistant | 175 Cape May Drive, Wilmington, OH 45177 | 2019-01-10 |
| 1740780865 | Greater Tomorrow Wellness, LLC | Physician Assistant | 1097 W Locust St, Wilmington, OH 45177 | 2018-02-15 |
| 1144632431 | Orion Rehabilitation Center, Inc. | Day Training, Developmentally Disabled Services | 4595 State Route 730, Wilmington, OH 45177 | 2014-05-21 |
| 1841546975 | Kathleen Michelle Miller | Nurse Practitioner | 610 West Main Street, Emergency Department, Wilmington, OH 45177 | 2012-07-26 |
| 1952693590 | John K Loudermilk Inc. | Dentist | 260 W. Locust St., Wilmington, OH 45177 | 2011-05-13 |
| 1619209475 | Premier Health Care LLC | Clinic/Center | 2845 Progress Way, Wilmington, OH 45177 | 2010-02-04 |
| 1417179474 | Larry Alan Howard | Specialist/Technologist | Wilmington College, 1870 Quaker Way, Box 1246, Wilmington, OH 45177 | 2007-05-02 |
| 1659494425 | Alan Robert Thompson | Chiropractor | 39 North South Street, Wilmington, OH 45177 | 2007-04-09 |
| Find all providers in zip 45177 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821447368 | Ashley Kibbey | Technician | 249 Taylor Dr, Wilmington, OH 45177-7162 | 2016-06-06 |
| 1548389778 | Senior Choices Unlimited | Technician | 1201 South 16th Street, Suite C, Wilmington, NC 28401 | 2007-03-28 |
| 1326162181 | United Health Standards | Technician | 3132 Wrightsville Ave, Wilmington, NC 28403-4112 | 2007-03-19 |
| 1568778033 | Kevin P Kelly | Technician | 3975a Market St, Comfort Keepers, Wilmington, NC 28403-1403 | 2010-08-23 |
| 1235322793 | Tanya Monique Pitts-jackson | Technician | 5700 Kirkwood Hwy, Suite 203, Wilmington, DE 19808-4857 | 2007-08-19 |
| 1336202027 | Care Focus, Inc. | Technician | 2106 S 17th St, Wilmington, NC 28401-7408 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518703 | Matthew Gaylor | Technician | 6 Coral Cir, Belpre, OH 45714-1553 | 2020-11-08 |
| 1245831916 | Nicole Bosworth | Technician | 5718 Rousseau Dr, Huber Heights, OH 45424-4329 | 2020-11-08 |
| 1104427863 | Amanda Jo Simulcik | Technician | 3933 Courtyard Dr, Lorain, OH 44053-4431 | 2020-11-07 |
| 1386245025 | Virginia A Patton | Technician | 40560 Burlingham Rd Bsmt, Shade, OH 45776-9556 | 2020-11-07 |
| 1487255261 | Lori Danielle Hann | Technician | 361 York Ave, Delaware, OH 43015-1578 | 2020-11-06 |
| 1346841137 | Jamison Ward Howell | Technician | 300 W Cross St, Morristown, OH 43759-0134 | 2020-11-06 |
| 1154922078 | Shannon Sebring | Technician | 16837 Highland Ave, Caldwell, OH 43724-9655 | 2020-11-06 |
| 1093316002 | William Patrick Gay | Technician | 134 Smith St, Portsmouth, OH 45662-8766 | 2020-11-05 |
| 1780285684 | Brenda Mcallister | Technician | 10089 High St, Rarden, OH 45671-9047 | 2020-11-05 |
| 1780285742 | Ivan William Miller Jr. | Technician | 241 Silvercrest Dr, Lexington, OH 44904-9364 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 45177 |
Please comment or provide details below to improve the information on LISA FULTON.
| 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.