MS. ELIZABETH FULFORD (NPI# 1376724542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376724542 |
| Entity Type | Individual |
| Full Name | MS. ELIZABETH FULFORD |
| Credential | ARNP |
| Practice Address |
289 Sw Range Ave Suite - C Madison FL 32340 |
| Practice Telephone | 8509732252 |
| Practice Fax Number | 8555316313 |
| Mailing Telephone | 8509732252 |
| Mailing Fax Number | 8555316313 |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2020-06-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2693972 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 307327100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750698429 | Elizabeth Fulford | Speech-Language Pathologist | 328 Neff Ave, Harrisonburg, VA 22801-3429 | 2010-09-01 |
| Street Address |
289 SW RANGE AVE SUITE - C |
| City | MADISON |
| State | FL |
| Zip Code | 32340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124159728 | Duramed Medical Services | Physiological Laboratory | 289 Sw Range Ave, Ste D, Madison, FL 32340 | 2007-03-08 |
| 1356826291 | Bailey Grade Medical Care, LLC | Family Medicine | 289 Sw Range Ave, Suite C, Madison, FL 32340 | 2018-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376016980 | Annie Laura Dyke | Registered Nurse | 213 Sw Third Ave, Madison, FL 32340 | 2019-01-07 |
| 1730698051 | Judith Khristian Sever-johnson | Registered Nurse | 218 Sw Third Avenue, Madison, FL 32340 | 2017-09-29 |
| 1265800437 | Maria Anchondo | Dentist | Ave. De La Raza #4722, Suite 3, Juarez, CHIHUAHUA 32340 | 2015-09-04 |
| 1508106063 | Family First Wellness Clinic, LLC | Family Medicine | 486 Sw Rutledge Street, Madison, FL 32340 | 2013-02-20 |
| 1306032073 | North Florida Pharmacy of Madison Inc. | Durable Medical Equipment & Medical Supplies | 139 Sw Macon St, Madison, FL 32340 | 2007-09-17 |
| 1295949444 | Roderick K Shaw IIi Dmd Pa | Dentist | 255 Ne Duval Ave, Madison, FL 32340 | 2007-05-09 |
| 1861595514 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 407 East Base St, Madison, FL 32340 | 2006-09-07 |
| 1194701862 | Mos LLC | Nurse Practitioner | 256 Sw Washington Ave, Madison, FL 32340 | 2005-12-15 |
| 1699248203 | Katelynn Mae Croft | Licensed Practical Nurse | 213 Sw Third Ave, Madison, FL 32340 | 2019-01-07 |
| 1760938468 | Natasha Linnett Lumpkin | Case Manager/Care Coordinator | 225 Sumatra Rd, Madison, FL 32340 | 2016-09-01 |
| Find all providers in zip 32340 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902424468 | Rachel Gallagher | Nurse Practitioner | 822 E Washington Ave, Madison, WI 53703-6500 | 2020-07-10 |
| 1932728177 | Cori Barkei | Nurse Practitioner | 3128 Limekiln St, Madison, WI 53719-2573 | 2020-04-08 |
| 1265075626 | Maria Rachuonyo | Nurse Practitioner | 165 Chestnut Dr, Madison, AL 35758-9524 | 2019-10-17 |
| 1548821333 | Sumner B Douglas | Nurse Practitioner | 401 Baptist Dr Ste 1040, Madison, MS 39110-2009 | 2019-06-24 |
| 1942865365 | Marta Cooper | Nurse Practitioner | 579 Donofrio Dr Ste 1, Madison, WI 53719-2838 | 2019-05-02 |
| 1215490024 | Angela Wiggins | Nurse Practitioner | 1210 Briarville Rd Bldg B, Madison, TN 37115-5136 | 2019-04-09 |
| 1124585419 | Melissa Kay Albright | Nurse Practitioner | 44 Hughes Rd Ste 2500, Madison, AL 35758-3026 | 2019-02-22 |
| 1912475393 | Katlynn Ann Kelley | Nurse Practitioner | 20 S Park St Rm M417, Madison, WI 53715-1348 | 2018-11-05 |
| 1053887943 | Denita Ward | Nurse Practitioner | 2145 Fox Ave, Madison, WI 53711-1920 | 2018-10-17 |
| 1992203079 | Brandy J Smith | Nurse Practitioner | 703 Green Rd Ste 1, Madison, IN 47250-2145 | 2018-01-24 |
| Find all providers in MADISON | ||||
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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.