MRS. FELICIA RAQUEL FULTON (NPI# 1093160020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093160020 |
| Entity Type | Individual |
| Full Name | MRS. FELICIA RAQUEL FULTON |
| Practice Address |
741 Erika Ln Grovetown GA 30813-8305 |
| Practice Telephone | 9105519435 |
| Mailing Telephone | 9105519435 |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
741 ERIKA LN |
| City | GROVETOWN |
| State | GA |
| Zip Code | 30813-8305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598276412 | Georgia Dental Professionals, PC | Dentist | 9596 Bentley Dr., Grovetown, GA 30813 | 2017-10-18 |
| 1558891895 | Jennifer M Humm | Dentist | 250 Merridian Drive, Grovetown, GA 30813 | 2017-06-19 |
| 1710335443 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 435 Lewiston Rd, Grovetown, GA 30813 | 2016-06-03 |
| 1558727214 | Lynda R Green | Counselor | 426 Northrop Place, Grovetown, GA 30813 | 2016-01-11 |
| 1689002610 | Patriots Park Dental, LLC | Dentist | 701 Devika Drive, Ste 10, Grovetown, GA 30813 | 2013-10-30 |
| 1255680096 | David Schulte Jr. | Internal Medicine | 925 Branch Ct Ste 2101, Grovetown, GA 30813 | 2012-09-07 |
| 1548519481 | Ashley Roberts Saunders | Pharmacist | 869 Horizon South Parkway, Grovetown, GA 30813 | 2012-09-06 |
| 1447569694 | Wallace Allen Partridge Jr. | Pharmacist | 5104 Wrightsboro Rd., Fred's Pharmacy 1699, Grovetown, GA 30813 | 2010-10-05 |
| 1497908149 | Sharon M Blair | Registered Nurse | 7640 Pleasantville Way, Grovetown, GA 30813 | 2008-10-28 |
| 1710160791 | Rebecca Meek | Nurse Practitioner | 469 Lewiston Rd, Grovetown, GA 30813 | 2007-12-12 |
| Find all providers in zip 30813 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215549928 | Athens At Home Wellness Solutions | Recreation Therapist | 1273 E Broad St, Athens, GA 30601-3051 | 2020-08-24 |
| 1447876768 | Rosemary Maines | Recreation Therapist | The Maines Group LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1649832452 | Gene Douglas Mcfadden Jr. | Recreation Therapist | 4373 Marjorie Rd, Snellville, GA 30039-6538 | 2019-07-01 |
| 1346505575 | Norma Ray Bivins | Recreation Therapist | 100 Gates Rd, Lizella, GA 31052-3616 | 2012-07-13 |
| 1104058510 | Meghan Patricia Burke | Recreation Therapist | 834 Prince Ave, Athens, GA 30606-2724 | 2009-08-18 |
| 1013128206 | Kenneth Charles Lanthier | Recreation Therapist | 4800 Byers Rd, Alpharetta, GA 30022-7960 | 2007-05-27 |
| 1396822961 | Cindi Meeks | Recreation Therapist | 1742 Wycliffe St, Augusta, GA 30904-5220 | 2006-11-01 |
| 1932218591 | Sharon Denise Whitten | Recreation Therapist | 1 Freedom Way # 276, Augusta, GA 30904-6258 | 2006-08-29 |
| 1184730434 | Todd Michael Spees | Recreation Therapist | 104 Waterford Ct, Bonaire, GA 31005-3624 | 2006-08-21 |
| 1487253217 | Kelsey Shull | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
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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.