MARCUS JEVON FULTON (NPI# 1396916680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396916680 |
| Entity Type | Individual |
| Full Name | MARCUS JEVON FULTON |
| Credential | NREMT-B |
| Practice Address |
964 Winter Garden Dr Unit 1 Shreveport LA 71107-3129 |
| Practice Telephone | 3182210467 |
| Mailing Telephone | 3182210467 |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | B1595888 | LA | Emergency Medical Service Providers |
| Street Address |
964 WINTER GARDEN DR UNIT 1 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71107-3129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490875 | Kimber Leigh Lumley | Registered Nurse | 1440 Hawn Ave., Shreveport, LA 71107 | 2019-08-01 |
| 1871063461 | Nicole Capito | Case Manager/Care Coordinator | 200 North Thomas Drive Ste 1, Shreveport, LA 71107 | 2018-11-27 |
| 1891260899 | Danielle Leigh Dreher | Dental Assistant | 3610 Gorman Rd, Shreveport, LA 71107 | 2018-10-05 |
| 1255817540 | Shirley Marie Washington | Technician | 3227 Old Mooringsport Rd., Shreveport Rd, LA 71107 | 2018-07-19 |
| 1366928467 | Katrina L Bailey | Case Manager/Care Coordinator | 1111 Hawn Ave Apt A, Shreveport, LA 71107 | 2018-07-12 |
| 1063907970 | James Mcneely IIi | Public Health or Welfare | 5922 Alaska Ln, Shreveport, LA 71107 | 2018-06-25 |
| 1528560067 | Jacarie Guice | Case Manager/Care Coordinator | 4601 N. Market Ste 2, Shreveport, LA 71107 | 2018-03-01 |
| 1467971069 | Tracy Renard Harris | Counselor | 1149 Englemeade Dr, Shreveport, LA 71107 | 2017-09-14 |
| 1427588045 | Mark Rogers | Behavior Technician | 1500 N. Market Unit C Suite 105, Shreveport, LA 71107 | 2017-06-15 |
| 1356871164 | Hope4youth | Voluntary or Charitable | 2850 King Oaks Loop, Shreveport, LA 71107 | 2017-06-14 |
| Find all providers in zip 71107 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751520 | Matthew Ford | Emergency Medical Technician, Basic | 6601 Milne Blvd, New Orleans, LA 70124-2222 | 2020-05-11 |
| 1043852122 | Michelle Leanne Jeane | Emergency Medical Technician, Basic | 7439 Shreveport Hwy, Leesville, LA 71446-6103 | 2019-10-10 |
| 1477997641 | Latasha Tonshay Richmond | Emergency Medical Technician, Basic | 1303 Oriole Ave, Ruston, LA 71270-6227 | 2013-04-18 |
| 1487992319 | Tulane Emergency Medical Services | Emergency Medical Technician, Basic | 6823 St Charles Avenue, Student Health Center Building 92, New Orleans, LA 70118 | 2013-01-28 |
| 1366719056 | Carl Hilton Williams | Emergency Medical Technician, Basic | 1957 N Ardenwood Dr, Apt 6072, Baton Rouge, LA 70806-1632 | 2011-11-23 |
| 1427282748 | Randel Andrew Patty | Emergency Medical Technician, Basic | 17931 Shoal Creek Dr, Baton Rouge, LA 70810-7905 | 2009-05-14 |
| 1215112917 | Home Town Doctors | Emergency Medical Technician, Basic | 5417 Jackson Street Ext, Suite B, Alexandria, LA 71303-2322 | 2008-01-02 |
| 1609880590 | Scott Pavur | Emergency Medical Technician, Basic | 5885 Lavey Ln, Suite 96, Baker, LA 70714-4280 | 2006-07-28 |
| 1437699840 | Likia Leblanc | Emergency Medical Technician, Basic | 209 N Main St, Opelousas, LA 70570-6256 | 2017-03-03 |
| 1750778593 | Rebecca Smith-heshley | Emergency Medical Technician, Basic | 1790 Saturn St, New Orleans, LA 70129-2270 | 2015-04-20 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71107 |
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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.