Active NPI
Isabelita Bajarias Fulton, ARNP
- Adult Health Nurse Practitioner
- Tampa, FL
National Provider Identifier
1063512648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 3069792
- Practice address
- 3258 Parkside Center Cir
Tampa, FL 33619-0907 - Phone
- (813) 635-0595
- Fax
- (813) 635-0691
- NPI assigned
- Sep 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 3069792 | FL | Primary |
Addresses
Primary practice location
3258 Parkside Center Cir
Tampa, FL 33619-0907
Mailing address
2074 Loma Linda Way N
Clearwater, FL 33763-4110
Phone (727) 443-0114
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3069792 | FL | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063512648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2074 LOMA LINDA WAY N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337634110",
"telephone_number": "727-443-0114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3258 PARKSIDE CENTER CIR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336190907",
"telephone_number": "813-635-0595",
"fax_number": "813-635-0691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULTON",
"first_name": "ISABELITA",
"middle_name": "BAJARIAS",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "3069792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.