Active NPI
Jodi Lyn Fulton Dunn, MSN, FNP-BC
- Family Nurse Practitioner
- Bonita Springs, FL
National Provider Identifier
1720117070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP 9311614
- Practice address
- 9776 Bonita Beach Rd SE
Suite 201a
Bonita Springs, FL 34135-4773 - Phone
- (239) 947-3092
- Fax
- (239) 947-1077
- NPI assigned
- Mar 5, 2007
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F334546 | NY | |
| Family Nurse Practitioner | 363LF0000X | ARNP 9311614 | FL | Primary |
Addresses
Primary practice location
9776 Bonita Beach Rd SE
Suite 201a
Bonita Springs, FL 34135-4773
Mailing address
4371 Veronica S Shoemaker Blvd
Attn: Credentialing
Fort Myers, FL 33916-2216
Phone (239) 274-8200
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
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9311614 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central New York Surgical Physicians PC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/8436/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Surgery Physician
- Syracuse, NY
- NPI 1093751026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410480000000",
"number": "1720117070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4371 VERONICA S SHOEMAKER BLVD",
"address_2": "ATTN: CREDENTIALING",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339162216",
"telephone_number": "239-274-8200",
"fax_number": "239-278-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9776 BONITA BEACH RD SE",
"address_2": "SUITE 201A",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341354773",
"telephone_number": "239-947-3092",
"fax_number": "239-947-1077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULTON DUNN",
"first_name": "JODI",
"middle_name": "LYN",
"name_prefix": "Mrs.",
"credential": "MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2014-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F334546",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP 9311614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bonita Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.