Samantha A Fulse

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

CN0028905888 Issued in GA

Practice address

97109 Pirates Point Rd
Yulee, FL 32097-6533

Phone

(904) 901-1718

NPI assigned

Jul 15, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1003653163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 J NOLAN WELLS RD APT E306",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486854",
            "telephone_number": "904-250-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97109 PIRATES POINT RD",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320976533",
            "telephone_number": "904-901-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULSE",
        "first_name": "SAMANTHA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": "CN0028905888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Ford
• Shantell Foster
• Madeline Jane Francis, MS, CF-SLP
• Joshua French, LMHC
• Sarah Fuchs, MSW, MCAP, RCSWI
• Rebecca Geis, BCBA
• Genesis Health Development, Inc.
• Georgia Pain Physicians PC
• Joufflie Germain
• Julie Gerrits

• Home Health Aide in Yulee, FL
• Providers in Yulee, FL by specialty
• Home Health Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.