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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | NONE | NONE | 01 |
Street Address |
2314 W THOMAS RD APT 261 |
City | PHOENIX |
State | AZ |
Zip Code | 85015-5911 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
Find all providers in zip 85015 |
Taxonomy Code | 376K00000X |
Grouping | Nursing Service Related Providers |
Classification | Nurse's Aide |
(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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407417199 | Anita Amanda Bloomingburg | Nurse's Aide | 829 E 153rd St, Phoenix, IL 60426-2554 | 2019-06-24 |
1093977092 | Simchah Care, LLC | Nurse's Aide | 8601 N Black Canyon Hwy, Suite 208, Phoenix, AZ 85021-4109 | 2008-06-30 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649877945 | Serene Home Healthcare LLC | Nurse's Aide | 37302 W Bello Ln, Maricopa, AZ 85138-5072 | 2020-10-08 |
1295348787 | Emma Guadalupe Cortez | Nurse's Aide | Hopi Health Care, Hwy 264 Mp 388, Polacca, AZ 86042 | 2020-08-25 |
1871143255 | Andrea Dawn Begay | Nurse's Aide | Us Hwy 160 M.p. 394.3, Kayenta, AZ 86033 | 2019-09-17 |
1083264451 | Mavis Ann Bahe | Nurse's Aide | Kayenta Health Center, Us Hwy 160, Mp 394.3, Kayenta, AZ 86033 | 2019-09-17 |
1083171219 | Carolline Arayon | Nurse's Aide | 524 S Abbey, Mesa, AZ 85208-7465 | 2019-02-24 |
1922593474 | Urina Bitsinnie | Nurse's Aide | Hwy 160 Building Ka2010, Kayenta, AZ 86033-0368 | 2018-06-27 |
1497257141 | Sharon Johnson | Nurse's Aide | 2880 Kiowa Blvd N, Lake Havasu City, AZ 86404-2624 | 2018-03-07 |
1639626948 | Arms of Love Behavioural | Nurse's Aide | 2402 E Nathan Way, Chandler, AZ 85225-2810 | 2016-09-02 |
1952854705 | Travis L Neely | Nurse's Aide | 433 N Arizona Ave, Prescott, AZ 86301-2605 | 2016-07-28 |
1245686187 | Alicia Serna Leon | Nurse's Aide | 580 N Morley Ave, Nogales, AZ 85621-2936 | 2016-05-10 |
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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.