DR. LATOYA DENISE FULTON (NPI# 1598031122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598031122 |
| Entity Type | Individual |
| Full Name | DR. LATOYA DENISE FULTON |
| Other Name | LATOYA DENISE PHILLIPS |
| Credential | D.O. |
| Practice Address |
501 Lapalco Blvd Gretna LA 70056-7336 |
| Mailing Address |
3625 Houma Blvd Metairie LA 70006-4229 |
| Practice Telephone | 5043934376 |
| Mailing Telephone | 6623926204 |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2020-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 307098 | LA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 5874 | OK | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 5874 | OK | Student, Health Care |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 3990200000X | GA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 620 S Madison St, Suite 209, Enid, OK 737017273 | 5805481544 | 5805481590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831527910 | Latoya Fulton | Specialist | 1356 Hicks St, Apt. Gb, Bronx, NY 10469-1719 | 2013-10-28 |
| Street Address |
501 LAPALCO BLVD |
| City | GRETNA |
| State | LA |
| Zip Code | 70056-7336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558572446 | Kendria E. Holt-rogers | Internal Medicine | 501 Lapalco Blvd, Gretna, LA 70056-7336 | 2007-05-24 |
| 1104377555 | Sereen Askar | Nurse Practitioner | 501 Lapalco Blvd, Gretna, LA 70056 | 2016-10-20 |
| 1588924435 | Jencare Neighborhood Medical Center Wb, LLC | Non-Pharmacy Dispensing Site | 501 Lapalco Blvd, Gretna, LA 70056-7304 | 2012-05-25 |
| 1346516333 | Scott Martin | Internal Medicine | 501 Lapalco Blvd, Jencare Neighborhood Medical Center Wb, LLC, Gretna, LA 70056 | 2012-03-24 |
| 1558630236 | Cynthia Joiner Tillman | Nurse Practitioner | 501 Lapalco Blvd, Jencare Neighborhood Medical Center Wb, LLC, Gretna, LA 70056 | 2011-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634169 | Krewe Wellness | Counselor | 2112 Belle Chasse Hwy Ste 8, #156, Gretna, LA 70056 | 2020-06-24 |
| 1205459732 | Gulf Coast Medical Specialists LLC | Internal Medicine | 1620 Belle Chasse Hwy Suite 101, Gretna, LA 70056 | 2020-05-19 |
| 1427530872 | Anna Marie Mckeon Jr. | Social Worker | 410 W. Butterfly Circle, Terrytown, LA 70056 | 2018-09-02 |
| 1558843219 | Nikell Thompson Fortia | Non-emergency Medical Transport (VAN) | 561 Morningside Dr, Gretna, LA 70056 | 2018-08-29 |
| 1861979379 | Irajuan L Cooley | Case Manager/Care Coordinator | 1620 Carol Sue Ave Apt 219, Gretna, LA 70056 | 2018-07-26 |
| 1457842528 | Veronica Stevenson | Case Manager/Care Coordinator | 1799 Stumpf Blvd Ste 4a, Terrytown, LA 70056 | 2018-05-24 |
| 1184126278 | Elesha Loston | Case Manager/Care Coordinator | 1799 Stumpf Blvd. Bldg .7 Suite 9a, Gretna, LA 70056 | 2018-03-05 |
| 1336656149 | Porsha D Causey | Counselor | 1799 Stumpf Blvd Bldg 7 Ste 10, Ste 10, Gretna, LA 70056 | 2018-01-02 |
| 1265950745 | Tamika Nicole Deville | Counselor | Advanced Therapeutic, 1799 Stumpf Blvd Bld 3 Ste 4b, Terrytown, LA 70056 | 2017-09-05 |
| 1679098792 | Clear Head Inc | Clinic/Center | 2310 Park Place Dr., Terrytown, LA 70056 | 2017-08-09 |
| Find all providers in zip 70056 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255899936 | Deluxe Medical Corporation | Family Medicine | 3640 Lake Aspen Dr W, Gretna, LA 70056-8303 | 2019-03-12 |
| 1952747602 | Jefferson Medical Clinic LLC | Family Medicine | 435 Lapalco Blvd Ste 1, Gretna, LA 70056-7375 | 2013-05-21 |
| 1306080361 | Ngoc-thuy Thi Bui | Family Medicine | 435 Lapalco Blvd, Suite 1, Gretna, LA 70056-7375 | 2009-04-21 |
| 1336324573 | G A Romaguera Md LLC | Family Medicine | 316 Lafayette St., Gretna, LA 70053 | 2008-01-07 |
| 1821122342 | John Craig Cornett | Family Medicine | 1125 Newton St, Gretna, LA 70053-6339 | 2007-03-15 |
| 1104964758 | Janice S. Glenn, M.d. Ampc | Family Medicine | 2600 Belle Chasse Highway Ste 201a, Gretna, LA 70056-7156 | 2007-02-02 |
| 1831296102 | The Wellness Place PC | Family Medicine | 818 Village Sq., Gretna, NE 68028-7914 | 2006-09-20 |
| 1770691826 | Gerard A Romaguera | Family Medicine | 316 Lafayette St, Gretna, LA 70053 | 2006-08-28 |
| 1518916683 | Rafael A Cortes-moran | Family Medicine | 441 Wall Blvd., Gretna, LA 70056-7723 | 2006-05-08 |
| 1346207750 | Rufus Randolph Duffer | Family Medicine | 107 Henry St, Gretna, VA 24557-4177 | 2006-04-28 |
| Find all providers in GRETNA | ||||
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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.