FULTON AND FULTON LLC (NPI# 1790384014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790384014 |
Entity Type | Organization |
Organization Name | FULTON AND FULTON LLC |
Practice Address |
3707 E Southern Ave Mesa AZ 85206-2569 |
Practice Telephone | 4805097738 |
Mailing Telephone | 4805097738 |
Enumeration Date | 2020-10-19 |
Last Update Date | 2020-10-19 |
Authorized Official Name | MR. TROY FULTON (OWNER) |
Authorized Official Telephone | 4805097738 |
Authorized Official Credential | PMHNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
Physician Assistants & Advanced Practice Nursing Providers |
Other Name | Type Code |
---|---|
Mesquite Valley Integrated Health | Doing Business As Name - Organization |
Street Address |
3707 E SOUTHERN AVE |
City | MESA |
State | AZ |
Zip Code | 85206-2569 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740282821 | Arizona Diabetes and Nutrition Education, LLC | Dietitian, Registered | 3707 E Southern Ave, Mesa, AZ 85206-2569 | 2005-08-10 |
1235746702 | Humanity Select Home Care LLC | In Home Supportive Care | 3707 E Southern Ave, Mesa, AZ 85206-2569 | 2020-09-28 |
1902414782 | Danielle Young | Social Worker | 3707 E Southern Ave, Mesa, AZ 85206-2569 | 2020-07-17 |
1053937599 | Troy Michael Fulton | Psychiatry & Neurology | 3707 E Southern Ave, Mesa, AZ 85206-2569 | 2020-06-21 |
1043844632 | Aubrey Rae Laird | Counselor | 3707 E Southern Ave, Mesa, AZ 85206-2569 | 2020-02-24 |
1043483902 | Telfer Enterprises LLC | Home Health | 3707 E Southern Ave, Suite 1062, Mesa, AZ 85206-2569 | 2008-04-10 |
1063551166 | Kristine Brazzel | Counselor | 3707 E Southern Ave, 1008, Mesa, AZ 85206-2569 | 2007-02-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
Find all providers in zip 85206 |
Taxonomy Code | 363LC1500X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164836565 | Karen Shelton | Nurse Practitioner | 924 N Alvernon Way Ste 110, Tucson, AZ 85711-1066 | 2014-06-13 |
1427107101 | Dale Wade Hawkins | Nurse Practitioner | 8050 E. Lakeside Parkway, Cope Community Services, Inc., Tucson, AZ 85730 | 2007-01-10 |
1609361492 | Lauren Michelle Nivison | Nurse Practitioner | 3825 N 24th St, Phoenix, AZ 85016-6512 | 2018-06-25 |
1619460532 | Amber Marie Bahm | Nurse Practitioner | 51 S Brian Mickelsen Pkwy, Cottonwood, AZ 86326-3610 | 2018-06-14 |
1851757603 | Norma Ann Bracamonte | Nurse Practitioner | 7105 N La Cholla Blvd, Tucson, AZ 85741-3112 | 2016-01-10 |
1174633051 | Charity Marie Correa | Nurse Practitioner | 6601 W Thomas Rd, Phoenix, AZ 85033-5700 | 2006-08-30 |
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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.