Active NPI
Jessica Ann Fulton, MD
- Student in an Organized Health Care Education/Training Program
- Covington, KY
National Provider Identifier
1043960784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 314 W 7TH St
Covington, KY 41011-1344 - Phone
- (937) 244-8346
- NPI assigned
- Mar 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | 28311 | OH | |
| Nurse's Aide | 376K00000X | 401994130817 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
314 W 7TH St
Covington, KY 41011-1344
Mailing address
314 W 7TH St
Covington, KY 41011-1344
Phone (937) 244-8346
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500116992 | Other | OH | OHIO STATE STUDENT ID |
| 401994130817 | Other | OH | STATE TESTED NURSING ASSISTANT, NURSE AID |
Other names 1
- Jessica Ann Walden
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28311 | OH | MD | Phlebotomy Technician |
| 401994130817 | OH | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750982400000",
"number": "1043960784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 W 7TH ST",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410111344",
"telephone_number": "937-244-8346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 W 7TH ST",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410111344",
"telephone_number": "937-244-8346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULTON",
"first_name": "JESSICA",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-25",
"last_updated": "2025-06-27",
"certification_date": "2025-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "OH",
"license": "28311",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "OH",
"license": "401994130817",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO STATE STUDENT ID",
"identifier": "500116992",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE TESTED NURSING ASSISTANT, NURSE AID",
"identifier": "401994130817",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "WALDEN",
"middle_name": "ANN",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Covington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.