WANDA KAY FULTON (NPI# 1881204899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881204899 |
| Entity Type | Individual |
| Full Name | WANDA KAY FULTON |
| Credential | FNP-BC |
| Practice Address |
3041 Old Eastover Rd Eastover SC 29044-8303 |
| Mailing Address |
9023 Garners Ferry Rd Hopkins SC 29061-9540 |
| Practice Telephone | 8033538741 |
| Practice Fax Number | 8033538789 |
| Mailing Telephone | 8039781848 |
| Mailing Fax Number | 8039781852 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
24237 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3041 OLD EASTOVER RD |
| City | EASTOVER |
| State | SC |
| Zip Code | 29044-8303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033760483 | Eau Claire Cooperative Health Center, Inc. | Pharmacy | 3041 Old Eastover Rd, Eastover, SC 29044-8303 | 2019-09-26 |
| 1871133728 | Melissa R. Scott | Nurse Practitioner | 3041 Old Eastover Rd, Eastover, SC 29044-8303 | 2020-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427470251 | Carla Nadine Boyd | Home Health Aide | 1156 B Old Mcgraw Rd, Eastover, SC 29044 | 2014-01-14 |
| 1982691796 | Vanessa K Wideman | Family Medicine | 1325 S Carolina Rd Ste 11, Eastover, SC 29044 | 2005-10-06 |
| 1730669789 | Eau Claire Cooperative Health Center Inc. | Pharmacy | 3041 Old Eastover Road, Eastover, SC 29044 | 2018-08-20 |
| 1811294978 | Eau Claire Cooperative Health Center, Inc. | Clinic/Center | 3041 Old Eastover Road, Eastover, SC 29044-2417 | 2011-02-24 |
| 1821290818 | Marguerite Lovett Knox | Nurse Practitioner | 1325 S Carolina Rd Ste 29, Eastover, SC 29044-5000 | 2007-06-03 |
| 1962914036 | Alex Ramon Wright | Social Worker | 860 S Carolina Rd, Eastover, SC 29044-5052 | 2017-10-30 |
| 1609328590 | Deidra Swails | Social Worker | 860 S Carolina Rd # 6, Eastover, SC 29044-5052 | 2016-10-26 |
| 1811496862 | Tonia Michele Wood | Registered Nurse | 120 Clarkson St, Eastover, SC 29044-8769 | 2018-02-06 |
| 1073982195 | Chelsea Baker | Physician Assistant | 120 Clarkson St, Eastover, SC 29044-8769 | 2015-09-18 |
| 1700125879 | Ever S Collier | Nurse Practitioner | 120 Clarkson St, Eastover, SC 29044-8769 | 2013-02-08 |
| Find all providers in zip 29044 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932606670 | Sharon Louise Gallagher | Nurse Practitioner | 2060 Orville St, Eastover, NC 28312-8813 | 2018-04-10 |
| 1760897052 | Anne Porcher Chalmers Goforth | Nurse Practitioner | 3551 Dunn Rd # 101, Eastover, NC 28312-8794 | 2014-06-25 |
| 1124025556 | Margaret Susan Lewis | Nurse Practitioner | 3551 Dunn Rd, Suite 101, Eastover, NC 28312-8794 | 2005-06-30 |
| 1871133728 | Melissa R. Scott | Nurse Practitioner | 3041 Old Eastover Rd, Eastover, SC 29044-8303 | 2020-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557737 | Diondra Johnson | Nurse Practitioner | 2327 Watchtower Ln, Charleston, SC 29414-7803 | 2020-10-27 |
| 1740888262 | Gerri Kukucka | Nurse Practitioner | 18 Ash Ct, Irmo, SC 29063-9584 | 2020-10-16 |
| 1407454853 | William Andrew Haislip | Nurse Practitioner | 109 Anita St, Greer, SC 29651-3814 | 2020-10-16 |
| 1912505652 | Mattison Williams Craig | Nurse Practitioner | 108 Woodstock Ln, Greer, SC 29650-3918 | 2020-10-14 |
| 1669079901 | Kelley Brown Davis | Nurse Practitioner | 2689 Us-1, Elgin, SC 29045 | 2020-10-08 |
| 1518564897 | Erica Odom Mccumbers | Nurse Practitioner | 17 Downing Cir, Gilbert, SC 29054-8483 | 2020-10-08 |
| 1285231845 | Shannon Marie Dunlap | Nurse Practitioner | 3792 Home Branch Rd, Manning, SC 29102-4109 | 2020-10-07 |
| 1588261325 | Crystal Leopard | Nurse Practitioner | 328 Deer Creek Rd, Easley, SC 29640-7615 | 2020-10-05 |
| 1497352595 | Margaret Ann Regnery | Nurse Practitioner | 900 Island Park Dr Ste 104, Daniel Island, SC 29492-7560 | 2020-10-02 |
| 1417564709 | John P Rainchuso | Nurse Practitioner | 299 Three Runs Creek Way, Aiken, SC 29803-1680 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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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.