MS. SALOME FULKERSON (NPI# 1780083014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780083014 |
| Entity Type | Individual |
| Full Name | MS. SALOME FULKERSON |
| Practice Address |
1476 Hwy 85 West Sacramento KY 42372 |
| Mailing Address |
1476 Highway 85 W Sacramento KY 42372-9534 |
| Practice Telephone | 2704992915 |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 8123 | KY | Agencies |
| Street Address |
1476 HWY 85 WEST |
| City | SACRAMENTO |
| State | KY |
| Zip Code | 42372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992211700 | Laurie A. Davis | Nurse Practitioner | 760 Main St, Sacramento, KY 42372-9405 | 2017-12-18 |
| 1306198601 | Asclepion Inc. | Pharmacy | 750 Main St, Sacramento, KY 42372-9405 | 2012-10-10 |
| 1619273513 | Jones Medical Corp | Nurse Practitioner | 760 Main St, Sacramento, KY 42372-9405 | 2011-02-10 |
| 1144526435 | Jones Medical Corp | Family Medicine | 760 Main St, Sacramento, KY 42372-9405 | 2011-02-03 |
| 1184945529 | Green River District Health Department | Public Health or Welfare | 640 Main St # 288, Sacramento, KY 42372-9474 | 2010-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497821 | Daisia Newman | Behavior Technician | 3038 Great Egret Way, Sacramento, CA 95834-1096 | 2020-11-05 |
| 1942801162 | Eric Longenecker | Registered Nurse | 2727 Honeysuckle Way, Sacramento, CA 95826-3118 | 2020-11-04 |
| 1598366601 | Anaiah Hospice Care, Inc. | Hospice Care, Community Based | 3353 Bradshaw Rd Ste 123, Sacramento, CA 95827-2609 | 2020-11-04 |
| 1568063998 | Jonathan Eguia | Registered Nurse | 10161 Croydon Way Ste 2, Sacramento, CA 95827-2107 | 2020-11-03 |
| 1750982229 | Kira Schetter | Marriage & Family Therapist | 2 Lido Cir, Sacramento, CA 95826-1613 | 2020-11-02 |
| 1235730813 | Debrah Deans Therapy | Counselor | 1023 H St Ste B5, Sacramento, CA 95814-2815 | 2020-11-02 |
| 1780284539 | Annalissa Ramos-garcia | Speech-Language Pathologist | 2575 33rd St Apt 4, Sacramento, CA 95817-1941 | 2020-10-30 |
| 1932709458 | Andre Howard | Case Manager/Care Coordinator | 2281 Hurley Way Apt 10, Sacramento, CA 95825-2337 | 2020-10-26 |
| 1366041105 | Brooke Doutherd | Behavior Technician | 204 Selby Ranch Rd Apt 7, Sacramento, CA 95864-5812 | 2020-10-22 |
| 1740889633 | Catherine Andrade | Behavior Technician | 7958 Pocket Rd Apt 67, Sacramento, CA 95831-5713 | 2020-10-21 |
| Find all providers in SACRAMENTO | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417580093 | Turning Point Community Programs | Community/Behavioral Health | 5417 Madison Ave, Sacramento, CA 95841-3164 | 2020-02-21 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| 1558907543 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite 102, Sacramento, CA 95825 | 2019-11-25 |
| 1912463852 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 3800 Watt Ave., Suite 110, Sacramento, CA 95821-2622 | 2019-02-15 |
| 1902379068 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 401 S. Street, Suite 101, Sacramento, CA 95811-6919 | 2019-01-10 |
| 1952883829 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave Suite 102, Sacramento, CA 95825 | 2018-09-06 |
| 1770088718 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 401 S St Ste 101, Sacramento, CA 95811-6919 | 2018-03-29 |
| 1891299350 | R&c Holdings | Community/Behavioral Health | 1109 Roundtree Ct, Sacramento, CA 95831-2640 | 2018-03-20 |
| 1437657301 | Mending Hearts Mending Minds Inc | Community/Behavioral Health | 6524 44th Street, Sacramento, CA 95823-5667 | 2018-01-25 |
| 1902312838 | Lilliput Families | Community/Behavioral Health | 2750 Sutterville Rd # Cottage3, Sacramento, CA 95820-1024 | 2017-12-14 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 42372 |
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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.