Individual provider Active NPI

D'Ericka L Fulgham-Artis

  • Psychiatric/Mental Health Nurse Practitioner
  • Durham, NC
National Provider Identifier
1033943998
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024190622 Issued in VA
Practice address
2402 S Miami Blvd Ste 101
Durham, NC 27703-4928
Phone
(360) 383-5051
NPI assigned
Aug 31, 2024
Last updated
May 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024190622 VA Primary

Addresses

Primary practice location

2402 S Miami Blvd Ste 101
Durham, NC 27703-4928

Mailing address

2800 Godwin Blvd
Suffolk, VA 23434-8038

Other practice location 1

215 Roanoke St
Christiansburg, VA 24073-3025
Phone (540) 381-0820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, OH, NC, TX, FL, NM6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20250306002288 VA Practitioner - Nurse Practitioner 1153842158 Reassigns benefits to 3 organizations
I20250430001821 OH Practitioner - Nurse Practitioner 1153842158 Reassigns benefits to 2 organizations
I20260205004127 NC Practitioner - Nurse Practitioner 1153842158 Reassigns benefits to 1 organization
I20260310002710 TX Practitioner - Nurse Practitioner 1153842158 Reassigns benefits to 1 organization
I20260420000777 FL Practitioner - Nurse Practitioner 1153842158 Reassigns benefits to 1 organization
I20260421001342 NM Practitioner - Nurse Practitioner 1153842158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2402 S Miami Blvd
Suite 101
Durham, NC 27703-4928
Phone (919) 765-8730

8500 Village Dr
Suite 101
San Antonio, TX 78217-5510
Phone (726) 201-3047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Free Clinic of the New River Valley Inc CurrentSince Feb 16, 2026 Accepting new patients
Free Clinic of the New River Valley Inc CurrentSince Feb 16, 2026 Accepting new patients
Free Clinic of the New River Valley Inc. CurrentSince Feb 16, 2026 Accepting new patients
Boulder Care Provider Group PA CurrentSince May 1, 2025 Accepting new patients
Western Tidewater Community Mental CurrentSince Feb 21, 2025 Accepting new patients
Eleanor Health Professional NC, PLLC CurrentSince Dec 11, 2025 Accepting new patients
Eleanor Health Professional TX, PLLC CurrentSince Feb 1, 2026 Accepting new patients
Eleanor Health Professional TX, PLLC CurrentSince Feb 1, 2026 Accepting new patients
Free Clinic of the New River Valley, Inc CurrentSince Feb 16, 2026 Accepting new patients

Locations

2402 S Miami Blvd
Ste 101
Durham, NC 27703
Phone (919) 765-8730

930 Tate Blvd SE
Ste 101
Hickory, NC 28602

20046 Walker Rd
Ste 7
Shaker Heights, OH 44122
Phone (503) 208-5061

111 SW Naito Pkwy
Ste 200
Portland, OR 97204
Phone (503) 208-5061

215 Roanoke St
Christiansburg, VA 24073
Phone (540) 381-0820

5826 Ruebush Rd
Dublin, VA 24084
Phone (540) 381-0820

200 E 2nd Ave
Franklin, VA 23851
Phone (757) 562-2208

219 Buchanan St
Pearisburg, VA 24134
Phone (540) 381-0820

1913 S Church St
Ste 2
Smithfield, VA 23430
Phone (757) 357-7458

1000 Commercial Ln
Suffolk, VA 23434
Phone (757) 925-2484

7025 Harbour View Blvd
Ste 119
Suffolk, VA 23435
Phone (757) 670-7471

Interoperability endpoints

  • Direct secure messaging: d.ericka.fulgham-artis.1@21505.direct.athenahealth.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1725062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1033943998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 GODWIN BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 S MIAMI BLVD STE 101",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277034928",
            "telephone_number": "360-383-5051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Roanoke St",
            "address_purpose": "LOCATION",
            "city": "Christiansburg",
            "state": "VA",
            "postal_code": "240733025",
            "country_code": "US",
            "telephone_number": "540-381-0820",
            "fax_number": "540-382-1019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULGHAM-ARTIS",
        "first_name": "D'ERICKA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-31",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024190622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.