Adrienne Sisson Fulton, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

906369 Issued in MS

Practice address

210 Hospital Cir
Choctaw, MS 39350-6781

Phone

(601) 389-4500

Fax

(601) 389-4462

NPI assigned

Nov 29, 2023

Last updated

Dec 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mississippi Band of Choctaw Indians

  dba Choctaw Health Center

  • General Acute Care Hospital
  • Choctaw, MS
  • NPI 1790865780

  TX

  Medicare reassignment NPD
• Mississippi Band of Choctaw Indians

  dba Conehatta Satellite Clinic

  • Federal Public Health Clinic/Center
  • Conehatta, MS
  • NPI 1013092600
  NPD
• Mississippi Band of Choctaw Indians

  dba Bogue Chitto Satellite Clinic

  • Federal Public Health Clinic/Center
  • Philadelphia, MS
  • NPI 1144305731
  NPD
• Mississippi Band of Choctaw Indians

  dba Red Water Satellite Clinic

  • Federal Public Health Clinic/Center
  • Carthage, MS
  • NPI 1275611543
  NPD
• Mississippi Band of Choctaw Indians

  dba Choctaw Health Center Ambulance

  • Ambulance
  • Choctaw, MS
  • NPI 1548358153
  NPD

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1386410439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 HOSPITAL CIR",
            "city": "CHOCTAW",
            "state": "MS",
            "postal_code": "393506781",
            "telephone_number": "601-389-4500",
            "fax_number": "601-389-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 HOSPITAL CIR",
            "city": "CHOCTAW",
            "state": "MS",
            "postal_code": "393506781",
            "telephone_number": "601-389-4500",
            "fax_number": "601-389-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "ADRIENNE",
        "middle_name": "SISSON",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MS",
            "license": "906369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa K. Cumberland, FNP
• Penny West Dickerson, RD
• Philip Evans, DMD
• William Gregory Evans, PHARMACIST
• Kardarius Felton
• Katlyn Goodin
• Victoria Capuyan Guevarra, M.D.
• David Adams Harbarger, DMD
• Victoria Harrison
• Patricia Cockrell Haynes, LCSW

• Pediatric Nurse Practitioner in Choctaw, MS
• Providers in Choctaw, MS by specialty
• Pediatric Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.