JESSICA TIARA FULTON (NPI# 1629585229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629585229 |
| Entity Type | Individual |
| Full Name | JESSICA TIARA FULTON |
| Practice Address |
1001 Cherry St Unit A Anchorage AK 99504-2230 |
| Mailing Address |
400 W 76th Ave Apt 105 Anchorage AK 99518-2551 |
| Practice Telephone | 9073064173 |
| Mailing Telephone | 9073064173 |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
101114 | AK | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215349261 | Jessica Fulton | Physical Therapist | 1644 E 53rd St, Chicago, IL 60615-4210 | 2014-05-27 |
| 1245670439 | Jessica Fulton | Psychologist | 508 Fulton St, Durham, NC 27705-3875 | 2013-07-02 |
| 1285987800 | Jessica L Fulton | Social Worker | 153 Main Street, Mount Kisco, NY 10549 | 2012-10-19 |
| 1568452670 | Jessica Alice Fulton | Emergency Medicine | 700 Lawn Ave, Sellersville, PA 18960-1548 | 2005-10-28 |
| Street Address |
1001 CHERRY ST UNIT A |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99504-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011593 | Deyoung Dentistry, LLC | Clinic/Center | 2601 Boniface Parkway Suite 1, Anchorage, AK 99504 | 2020-07-29 |
| 1881257475 | Tirzah Shelton | Psychologist | Veteran Affairs Clinic, 1201 North Muldoon, Anchorage, AK 99504 | 2019-04-18 |
| 1831651652 | Mekennah Ward | Massage Therapist | 7731 Northern Lights Blvd, #220, Anchorage, AK 99504 | 2019-04-01 |
| 1952883266 | Quality & Quantity Care Services LLC | Custodial Care Facility | 848 Elaine Dr, Anchorage, Ak, 99504, The Same, Anchorage, AK 99504 | 2018-09-04 |
| 1659858587 | Chloe Janelle Escalante | Psychologist | 511 Oaklahoma St., Apt 2, Anchorage, AK 99504 | 2018-07-24 |
| 1184100141 | Haa LLC | Durable Medical Equipment & Medical Supplies | 1409 Twining Dr, Anchorage, AK 99504 | 2018-07-12 |
| 1831626225 | Christian Wilfred, Thomas Garrett | Social Worker | 1201 N Mulddon Rd, Anchorage, AK 99504 | 2017-05-16 |
| 1609309954 | Rowena R Jones | Assisted Living Facility | 4009 Scenic View, Anchorage, AK 99504 | 2017-04-04 |
| 1982156733 | Agape Care Coordination LLC | Case Manager/Care Coordinator | 2050 Paxson Dr., Anchorage, AK 99504 | 2016-10-27 |
| 1649626169 | Pa Lou Vang | Registered Nurse | 7404 E 4th Ave Unit B, Anchorage, AK 99504 | 2016-05-13 |
| Find all providers in zip 99504 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376169300 | Second Chance Support Services LLC | Assisted Living Facility | 741 Irwin St, Anchorage, AK 99508-1252 | 2020-06-25 |
| 1841815321 | Crisalyn Buenarte Ruiz | Assisted Living Facility | 3541 Corona Cir, Anchorage, AK 99517-1486 | 2020-06-10 |
| 1942858782 | My Home LLC | Assisted Living Facility | 6865 Viburnum Dr, Anchorage, AK 99507-2467 | 2019-08-26 |
| 1750935433 | Mind and Soul Assisted Living, LLC | Assisted Living Facility | 6124 E 12th Ave # D2, Anchorage, AK 99504-2355 | 2019-07-30 |
| 1689131989 | Tara Walker | Assisted Living Facility | 7774 Cherrywood Cir, Anchorage, AK 99507-2973 | 2019-02-23 |
| 1902381940 | Alkamba Marenah Enterprises, LLC | Assisted Living Facility | 1545 Demeure Pl, Anchorage, AK 99508-3164 | 2018-09-25 |
| 1881109767 | Michael Anthony Brown | Assisted Living Facility | 7940 Little Dipper Ave, Anchorage, AK 99504-4125 | 2017-12-13 |
| 1740706548 | Susan Taylor-mclaughlin | Assisted Living Facility | 9113 Jewel Terrace St, Anchorage, AK 99502-5149 | 2017-08-15 |
| 1609309954 | Rowena R Jones | Assisted Living Facility | 4009 Scenic View, Anchorage, AK 99504 | 2017-04-04 |
| 1477946366 | Merlina Ganigan Duggan | Assisted Living Facility | 243 Klevin Street, Anchorage, AK 99508 | 2015-03-17 |
| Find all providers in ANCHORAGE | ||||
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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.