Active NPI
Shaunte Fulcher
- Driver
- Fort Myers, FL
National Provider Identifier
1164057782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- F426794809080
- Practice address
- 2804 Price Ave
Fort Myers, FL 33916-4214 - Phone
- (404) 844-1123
- NPI assigned
- Mar 4, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | F426794809080 | FL | Primary |
Addresses
Primary practice location
2804 Price Ave
Fort Myers, FL 33916-4214
Mailing address
1512 Veronica S Shoemaker Blvd
Fort Myers, FL 33916-2150
Phone (404) 844-1123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000 | Other | FL | N/A |
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 |
|---|---|---|---|
| F426794809080 | FL | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1164057782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 VERONICA S SHOEMAKER BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339162150",
"telephone_number": "404-844-1123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2804 PRICE AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339164214",
"telephone_number": "404-844-1123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULCHER",
"first_name": "SHAUNTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-04",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "FL",
"license": "F426794809080",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "000000000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.