JESSICA TIARA FULTON


Address: 1001 Cherry St Unit A, Anchorage, AK 99504-2230
Phone: 9073064173

JESSICA TIARA FULTON (NPI# 1629585229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629585229
Entity Type Individual
Full Name JESSICA TIARA FULTON
Practice Address 1001 Cherry St Unit A
Anchorage
AK 99504-2230
Mailing Address 400 W 76th Ave Apt 105
Anchorage
AK 99518-2551
Practice Telephone 9073064173
Mailing Telephone 9073064173
Enumeration Date 2018-01-04
Last Update Date 2018-01-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3104A0625X Assisted Living Facility
Specialization: Assisted Living, Mental Illness
101114 AK Nursing & Custodial Care Facilities

Other Providers JESSICA FULTON

NPI Name Taxonomy Address Enumeration
1215349261 Jessica Fulton Physical Therapist 1644 E 53rd St, Chicago, IL 60615-4210 2014-05-27
1245670439 Jessica Fulton Psychologist 508 Fulton St, Durham, NC 27705-3875 2013-07-02
1285987800 Jessica L Fulton Social Worker 153 Main Street, Mount Kisco, NY 10549 2012-10-19
1568452670 Jessica Alice Fulton Emergency Medicine 700 Lawn Ave, Sellersville, PA 18960-1548 2005-10-28

Office Location

Street Address 1001 CHERRY ST UNIT A
City ANCHORAGE
State AK
Zip Code 99504-2230

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Taxonomy Information

Taxonomy Code 3104A0625X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility
Specialization Assisted Living, Mental Illness

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376169300 Second Chance Support Services LLC Assisted Living Facility 741 Irwin St, Anchorage, AK 99508-1252 2020-06-25
1841815321 Crisalyn Buenarte Ruiz Assisted Living Facility 3541 Corona Cir, Anchorage, AK 99517-1486 2020-06-10
1942858782 My Home LLC Assisted Living Facility 6865 Viburnum Dr, Anchorage, AK 99507-2467 2019-08-26
1750935433 Mind and Soul Assisted Living, LLC Assisted Living Facility 6124 E 12th Ave # D2, Anchorage, AK 99504-2355 2019-07-30
1689131989 Tara Walker Assisted Living Facility 7774 Cherrywood Cir, Anchorage, AK 99507-2973 2019-02-23
1902381940 Alkamba Marenah Enterprises, LLC Assisted Living Facility 1545 Demeure Pl, Anchorage, AK 99508-3164 2018-09-25
1881109767 Michael Anthony Brown Assisted Living Facility 7940 Little Dipper Ave, Anchorage, AK 99504-4125 2017-12-13
1740706548 Susan Taylor-mclaughlin Assisted Living Facility 9113 Jewel Terrace St, Anchorage, AK 99502-5149 2017-08-15
1609309954 Rowena R Jones Assisted Living Facility 4009 Scenic View, Anchorage, AK 99504 2017-04-04
1477946366 Merlina Ganigan Duggan Assisted Living Facility 243 Klevin Street, Anchorage, AK 99508 2015-03-17
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Competitor

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City ANCHORAGE
Zip Code 99504

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Dataset Information

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.

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