Jenna Fulford, CHW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1821 University Ave W Ste S306A
Saint Paul, MN 55104-2874

Phone

(651) 315-4905

NPI assigned

Aug 11, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• CHW Solutions LLC

  • Public Health or Welfare Agency
  • Saint Paul, MN
  • NPI 1689418055
  NPD
• CHW Solutions LLC

  • Community Health Worker
  • Saint Paul, MN
  • NPI 1417301250
  NPD (past)

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1497438758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE S306A",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042874",
            "telephone_number": "651-315-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE S306A",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042874",
            "telephone_number": "651-315-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULFORD",
        "first_name": "JENNA",
        "credential": "CHW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madisen Elaine Frye
• Elizabeth Danielle Fudge
• Kayla Renee Fuechtmann
• Fueling Performance, LLC
• Katherine Ann Fuhrmann, MS, CGC
• Rachel Ann Fulin, BACHELORS DEGREE
• Kyle Fuller, LAMFT
• Lauren Fullerton, M.A., LADC
• Susan Patricia Fullerton, LPCC
• William Fullerton

• Community Health Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Community Health Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.