Individual provider Active NPI

Krisha Charlene Fulcher, PSY.D.

  • Clinical Psychologist
  • Lecanto, FL
National Provider Identifier
1740474568
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7548 Issued in FL
Practice address
2804 W Marc Knighton CT
Suite a
Lecanto, FL 34461-6300
Phone
(352) 746-8000
Fax
(352) 746-8003
NPI assigned
Sep 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY7548 FL Primary

Addresses

Primary practice location

2804 W Marc Knighton CT
Suite a
Lecanto, FL 34461-6300

Mailing address

2804 W Marc Knighton CT
Suite a
Lecanto, FL 34461-6300
Phone (352) 746-8067

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

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1740474568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 W MARC KNIGHTON CT",
            "address_2": "SUITE A",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344616300",
            "telephone_number": "352-746-8067",
            "fax_number": "352-746-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 W MARC KNIGHTON CT",
            "address_2": "SUITE A",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344616300",
            "telephone_number": "352-746-8000",
            "fax_number": "352-746-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULCHER",
        "first_name": "KRISHA",
        "middle_name": "CHARLENE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lecanto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.