JENNIFER FULTS (NPI# 1063906402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063906402 |
| Entity Type | Individual |
| Full Name | JENNIFER FULTS |
| Practice Address |
2435 Ridge Rd Ste 107 Rockwall TX 75087-5533 |
| Mailing Address |
Po Box 747 Terrell TX 75160-0014 |
| Practice Telephone | 9727222685 |
| Practice Fax Number | 9726920604 |
| Mailing Telephone | 9725244159 |
| Mailing Fax Number | 9725241002 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
75701 | TX | Behavioral Health & Social Service Providers |
| Street Address |
2435 RIDGE RD STE 107 |
| City | ROCKWALL |
| State | TX |
| Zip Code | 75087-5533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699318402 | Shayla Turner | Counselor | 2435 Ridge Rd Ste 107, Rockwall, TX 75087-5533 | 2019-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452309 | Schweers Dental Pllc | Clinic/Center | 3005 N Goliad St., Suite 110, Rockwall, TX 75087 | 2020-03-19 |
| 1467091611 | Elsa Varughese | Nurse Practitioner | 414 Garrett Dr, Rockwall, TX 75087 | 2020-01-04 |
| 1578105391 | Jaya Raji Mathai | Psychiatry & Neurology | 2249 Ridge Rd., Rockwall, TX 75087 | 2019-10-14 |
| 1104326784 | Eunice B Ontita | Nurse Practitioner | 601 White Hills Dr., Suite 100, Rockwall, TX 75087 | 2018-02-20 |
| 1053811885 | Emelda Fehnyui Ndinjiakat | Licensed Vocational Nurse | 610 Louder Way, Fate, TEXAS 75087 | 2018-02-19 |
| 1588163885 | January Lauren Green | Nurse Practitioner | 6800 Heritage Parkway, Suite 201, Rockwall, TX 75087 | 2018-02-02 |
| 1093268328 | Anouk Family Chiropractic, Pllc | Chiropractor | 2555 Ridge Rd #150, Rockwall, TX 75087 | 2016-08-03 |
| 1962858134 | Katherine L. Crane | Counselor | 302 W. Kaufman St., Rockwall, TX 75087 | 2016-05-06 |
| 1669841102 | Richard Carroll Smith | Obstetrics & Gynecology | 2120 Clubview, Rockwall, TX 75087 | 2015-09-15 |
| 1033598032 | Michelle Knight | Massage Therapist | 767 Justin Rd, Rockwall, TX 75087 | 2015-05-22 |
| Find all providers in zip 75087 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476128 | Cary Scott Counseling, Pllc | Counselor | 4035 N Goliad St, Rockwall, TX 75087-7031 | 2020-08-07 |
| 1780223107 | Carol Diane Cruz | Counselor | 101 S Fannin St Ste 110, Rockwall, TX 75087-3702 | 2020-01-02 |
| 1295207207 | Sandra Raye Browne | Counselor | 1101 Ridge Rd Ste 237, Rockwall, TX 75087-4250 | 2019-01-02 |
| 1205304417 | Kristen Smith | Counselor | 2371 Fieldcrest Dr, Rockwall, TX 75032-9219 | 2018-11-06 |
| 1366953234 | Jessica Amanda Kohl | Counselor | 203 S Fannin St, Rockwall, TX 75087-3749 | 2017-10-19 |
| 1821519521 | Rita Canavan | Counselor | 714 Clem Rd, Rockwall, TX 75087-7966 | 2017-07-03 |
| 1205375771 | Piper Williams | Counselor | 737 Justin Rd, Rockwall, TX 75087-4840 | 2017-02-17 |
| 1104373372 | Kristine Anderson-mcgee | Counselor | 1380 White Sand Dr, Rockwall, TX 75087-2441 | 2016-09-06 |
| 1962858134 | Katherine L. Crane | Counselor | 302 W. Kaufman St., Rockwall, TX 75087 | 2016-05-06 |
| 1386042430 | Jennifer Davis | Counselor | 604 Stonebridge Cir, Rockwall, TX 75087-4101 | 2014-12-05 |
| Find all providers in ROCKWALL | ||||
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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.