Individual provider Active NPI

Karen Joy Fulton

  • Adult Health Nurse Practitioner
  • Irondale, AL
National Provider Identifier
1053883470
Registry record updated Dec 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-148614 Issued in AL
Practice address
1652 Montclair Rd
Irondale, AL 35210-2410
Phone
(205) 263-8623
NPI assigned
Dec 24, 2018
Last updated
Dec 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1-148614 AL Primary

Addresses

Primary practice location

1652 Montclair Rd
Irondale, AL 35210-2410

Mailing address

4405 6TH Ave S
Birmingham, AL 35222-3443
Phone (205) 533-3835

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-148614ALMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: kfulton@direct.uabmedicine.org

NPI Registry JSON

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

{
    "created_epoch": "1545609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545609600000",
    "number": "1053883470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352223443",
            "telephone_number": "205-533-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 MONTCLAIR RD",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352102410",
            "telephone_number": "205-263-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "KAREN",
        "middle_name": "JOY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-24",
        "last_updated": "2018-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-148614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irondale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2018; 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.