Individual provider Active NPI

Billi-Jo Fulton, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glens Falls, NY
National Provider Identifier
1679197974
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403155 Issued in NY
Practice address
84 Broad St Ste 2
Glens Falls, NY 12801-4381
Phone
(518) 636-5284
NPI assigned
Jun 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 683327 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403155 NY Primary

Addresses

Primary practice location

84 Broad St Ste 2
Glens Falls, NY 12801-4381

Mailing address

84 Broad St
Glens Falls, NY 12801-4386
Phone (518) 636-5284

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

State licenses

LicenseStateTypeSpecialty
683327NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon James Nurse Practitioner in Psychiatry P.C Psychiatric/Mental Health CurrentSince Jun 5, 2022 Accepting new patients
The Eden Center for Integrative Care CurrentSince Jun 5, 2022 Accepting new patients
Hudson Valley Mental Health, Inc. Psychiatric/Mental Health CurrentSince Jan 1, 2022 Accepting new patients

Locations

50 Center St
Ellenville, NY 12428
Phone (845) 647-3266

84 Broad St
Ste 2
Glens Falls, NY 12801
Phone (518) 636-5284

29 N Hamilton St
Poughkeepsie, NY 12601
Phone (845) 452-1110

84 Broad St
Queensbury, NY 12801
Phone (518) 636-5284

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1679197974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 BROAD ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014386",
            "telephone_number": "518-636-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 BROAD ST STE 2",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014381",
            "telephone_number": "518-636-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "BILLI-JO",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "683327",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.