Active NPI
Billi-Jo Fulton, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Glens Falls, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 403155
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 683327 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shannon James Nurse Practitioner in Psychiatry P.C | Psychiatric/Mental Health | Current | Accepting new patients |
| The Eden Center for Integrative Care | Current | Accepting new patients | |
| Hudson Valley Mental Health, Inc. | Psychiatric/Mental Health | Current | 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.
-
- Clinical Social Worker
- Poughkeepsie, NY
- NPI 1356393862
Psychiatric/Mental Health
-
- Psychiatric/Mental Health Nurse Practitioner
- Glens Falls, NY
- NPI 1417697376
-
- Psychologist
- Glens Falls, NY
- NPI 1457027526
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.