SHANE AMOUR FULTON


Address: 2314 W Thomas Rd Apt 261, Phoenix, AZ 85015-5911
Phone: 5622484226

SHANE AMOUR FULTON (NPI# 1932734803) 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) 1932734803
Entity Type Individual
Full Name SHANE AMOUR FULTON
Credential CNA
Practice Address 2314 W Thomas Rd Apt 261
Phoenix
AZ 85015-5911
Practice Telephone 5622484226
Enumeration Date 2020-03-11
Last Update Date 2020-03-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 374U00000X Home Health Aide AZ Nursing Service Related Providers
Y 376K00000X Nurse's Aide CNA1000056885 AZ Nursing Service Related Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ NONE NONE 01

Office Location

Street Address 2314 W THOMAS RD APT 261
City PHOENIX
State AZ
Zip Code 85015-5911

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Taxonomy Information

Taxonomy Code 376K00000X
Grouping Nursing Service Related Providers
Classification Nurse's Aide

Taxonomy Definition

(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

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NPI Name Taxonomy Address Enumeration
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1023232402 Kyla Williamson Nurse's Aide 2015 E Camelback Rd, Phoenix, AZ 85016-4710 2007-04-13
1467851444 Marie Shlezar Nurse's Aide 650 E Indian School Rd, Phoenix, AZ 85012-1839 2014-08-15
1003225673 Thomas Arroyo Iv Nurse's Aide 650 E Indian School Rd, Phoenix, AZ 85012-1839 2014-08-07

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1871143255 Andrea Dawn Begay Nurse's Aide Us Hwy 160 M.p. 394.3, Kayenta, AZ 86033 2019-09-17
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1922593474 Urina Bitsinnie Nurse's Aide Hwy 160 Building Ka2010, Kayenta, AZ 86033-0368 2018-06-27
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1952854705 Travis L Neely Nurse's Aide 433 N Arizona Ave, Prescott, AZ 86301-2605 2016-07-28
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Competitor

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City PHOENIX
Zip Code 85015

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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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