PATRICIA A FULTS (NPI# 1124256201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124256201 |
| Entity Type | Individual |
| Full Name | PATRICIA A FULTS |
| Credential | MDH |
| Practice Address |
2475 Garrison Ave Port St Joe FL 32456-5265 |
| Practice Telephone | 8502271276 |
| Practice Fax Number | 8502279101 |
| Mailing Telephone | 8502271276 |
| Mailing Fax Number | 8502279101 |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2009-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH5687 | FL | Dental Providers |
| Street Address |
2475 GARRISON AVE |
| City | PORT ST JOE |
| State | FL |
| Zip Code | 32456-5265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407828189 | Florida Department of Health | Public Health or Welfare | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2006-02-06 |
| 1043688831 | Eric Haynam | Dentist | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2015-09-10 |
| 1235419094 | Patricia A Hammonds | Nurse Practitioner | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2011-08-25 |
| 1992012181 | Tallahassee Orthopedic Clnic IIi Pl | Prosthetic/Orthotic Supplier | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2010-09-09 |
| 1285883918 | Brittany Jade Beauchamp | Registered Nurse | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2008-09-18 |
| 1932357316 | Jill Marlene Nance | Social Worker | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2008-08-28 |
| 1477676237 | St Joseph Care of Florida, Inc. | Public Health or Welfare | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2007-04-09 |
| 1174643233 | Rita Faye Thompson | Registered Nurse | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2007-03-30 |
| 1730219254 | Barbara Ann Mcdermid | Social Worker | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2007-03-06 |
| 1114940939 | Paul J Hunt Jr. | Specialist | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2006-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609379825 | Melanie Q Larry | Case Manager/Care Coordinator | 212 W. Highway 98, Suite C Town Center Plaza, Port St. Joe, FL 32456 | 2018-03-14 |
| 1972029833 | Tem Medical | Internal Medicine | 220 9th Street, Port St Joe, FL 32456 | 2017-08-22 |
| 1770018731 | Gulf County Association for Retarded Citizens, Inc. | Non-emergency Medical Transport (VAN) | 122 Water Plant Road, Port St Joe, FL 32456 | 2017-04-27 |
| 1477815488 | Patricia J Mitchell | Nurse Practitioner | 256 Canal Street, Port Saint Joe, FL 32456 | 2012-06-14 |
| 1407135296 | Chrystal R Cox | Occupational Therapist | 6801 Us Highway 98, Port St. Joe, FL 32456 | 2011-08-10 |
| 1467662957 | William Rex Buzzett | Pharmacist | 302 Cecil G Costin Blvd, Port St Joe, FL 32456 | 2007-05-23 |
| 1831293802 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 110 Hwy 98, Port Saint Joe, FL 32456 | 2006-09-12 |
| 1427160571 | Shoreline Medical Group, P.a. | Internal Medicine | 419 Baltzell Ave, Port St Joe, FL 32456 | 2006-08-31 |
| 1851403992 | Elizabeth F Curry | Pediatrics | 3871 E Highway 98 Ste 201, Port St Joe, FL 32456 | 2006-08-31 |
| 1891715702 | Champion Medical Equipment Rental &sales LLC | Durable Medical Equipment & Medical Supplies | 324 Long Ave Port St, Joe, FL 32456 | 2006-07-20 |
| Find all providers in zip 32456 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831163310 | Beverly Annette Grinslade | Dental Hygienist | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164037453 | Mary Kate Pace | Dental Hygienist | 1115 N Eglin Pkwy, Shalimar, FL 32579-1228 | 2020-09-13 |
| 1578173910 | Kimberly Beck | Dental Hygienist | 18030 Sandtrap Dr, Naples, FL 34114-7596 | 2020-07-31 |
| 1962012328 | Melody Jean Garcia | Dental Hygienist | Navy Medicene Support Command : Medical Staff Services, Bldg H, 2005 Knight Lane, Jacksonville, FL 32221-0140 | 2020-07-31 |
| 1043829385 | Mailyn Cortes | Dental Hygienist | 1134 Sw 12th Ct, Miami, FL 33135-5418 | 2020-07-22 |
| 1841817988 | Polly Ward | Dental Hygienist | 1022 Main St Ste P, Dunedin, FL 34698-5225 | 2020-07-04 |
| 1760007959 | Leanne Crist Nichol | Dental Hygienist | 6957 Boulder Run Loop, Wesley Chapel, FL 33545-4854 | 2020-06-12 |
| 1124641337 | Rhoda P Kublickis | Dental Hygienist | 274 Tropic Dr, Lauderdale By The Sea, FL 33308-5428 | 2020-05-21 |
| 1306468533 | Heather Paul | Dental Hygienist | 8839 Handel Loop, Land O Lakes, FL 34637 | 2020-05-11 |
| 1902426729 | Jose Dalby Contreras | Dental Hygienist | 690 Sw 1st Ct Apt 2319, Miami, FL 33130-2927 | 2020-04-22 |
| 1659991974 | Maggie Cruciata | Dental Hygienist | 974 International Pkwy, Lake Mary, FL 32746-5219 | 2020-04-17 |
| Find all providers with the same taxonomy | ||||
| City | PORT ST JOE |
| Zip Code | 32456 |
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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.