MARTHA FULTZ (NPI# 1396864666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396864666 |
| Entity Type | Individual |
| Full Name | MARTHA FULTZ |
| Credential | R.N. |
| Practice Address |
5683 Us Highway 129 S Jasper FL 32052-3743 |
| Practice Telephone | 3867926540 |
| Practice Fax Number | 3866380049 |
| Mailing Telephone | 3867926540 |
| Mailing Fax Number | 3866380049 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN2802692 | FL | Nursing Service Providers |
| Street Address |
5683 US HIGHWAY 129 S |
| City | JASPER |
| State | FL |
| Zip Code | 32052-3743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013312420 | Lore Johns | Licensed Practical Nurse | 5683 Us Highway 129 S, Jasper, FL 32052-6793 | 2014-10-28 |
| 1942600580 | Fdlrs/gateway | Early Intervention Provider Agency | 5683 Us Highway 129 S, Jasper, FL 32052-6793 | 2014-09-02 |
| 1871612150 | Daisy Vickers | Registered Nurse | 5683 Us Highway 129 S, Jasper, FL 32052-3743 | 2007-03-28 |
| 1144349325 | Tracie Cox | Registered Nurse | 5683 Us Highway 129 S, Jasper, FL 32052-3743 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700362282 | North Florida Pediatrics, Pa | Pediatrics | 5686 Us Highway 129 South, School Clinic, Jasper, FL 32052 | 2018-07-17 |
| 1467902718 | Anthony James Holden | Non-emergency Medical Transport (VAN) | 1124 Maplewood Rd, Jasper, FL 32052 | 2016-10-11 |
| 1114347143 | Danielle Bryant | Custodial Care Facility | 3181 Nw 111th Pl, Jasper, FL 32052 | 2014-04-17 |
| 1962717538 | Fawaz Abdulraheem | Surgery | Mubarak Al-kabeer Hospital, Street 103, Jabriya, Kuwait City, KWI 32052 | 2010-08-08 |
| 1033447206 | Latia Lumpkin | Home Health | 1001 3rd St Nw, Jasper, FL 32052 | 2009-11-30 |
| 1558540104 | Hamilton Count Council On Aging | Case Management | 1509 S.w. 1st St., Jasper, FL 32052 | 2007-10-31 |
| 1861513665 | Hometown Care | Durable Medical Equipment & Medical Supplies | 107 Hatley Street, Jasper, FL 32052 | 2007-04-02 |
| 1215091699 | Hamilton County School Board | Local Education Agency (LEA) | 4280 S.w. County Rd 152, Jasper, FL 32052 | 2006-12-20 |
| 1689738296 | Hamilton County School Board | Local Education Agency (LEA) | 4280 S. W. County Rd 152, Jasper, FL 32052 | 2006-12-20 |
| 1205925146 | W. Benjamin Norris Jr. | Dentist | 107 First Ave Se, Jasper, FL 32052 | 2006-10-11 |
| Find all providers in zip 32052 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003935347 | Sharon B Gay | Registered Nurse | 209 Central Ave Se, Jasper, FL 32052-6153 | 2007-03-28 |
| 1912453036 | Jeannetta S Brophy | Registered Nurse | 24 E 7th St, Jasper, TN 37347-3301 | 2016-08-29 |
| 1760863732 | Janet Elaine Winnie | Registered Nurse | 24 E 7th St, Jasper, TN 37347-3301 | 2015-06-15 |
| 1881826410 | David Cameron Miller | Registered Nurse | 10650 Sw 46th St, Jasper, FL 32052-3732 | 2009-08-15 |
| 1427261072 | Melissa S Halley | Registered Nurse | 110 Gamble Ln, Jasper, TN 37347-2811 | 2007-05-08 |
| 1689887176 | Naomi D Powell | Registered Nurse | 110 Gamble Ln, Jasper, TN 37347-2811 | 2007-05-08 |
| 1871612150 | Daisy Vickers | Registered Nurse | 5683 Us Highway 129 S, Jasper, FL 32052-3743 | 2007-03-28 |
| 1992824262 | Mona Payne | Registered Nurse | 209 Central Ave Se, Jasper, FL 32052-6153 | 2007-03-28 |
| 1144349325 | Tracie Cox | Registered Nurse | 5683 Us Highway 129 S, Jasper, FL 32052-3743 | 2007-03-28 |
| 1487773735 | Nancy Wiegand | Registered Nurse | 209 Central Ave Se, Jasper, FL 32052-6153 | 2007-03-28 |
| Find all providers in JASPER | ||||
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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.