Keith Quentin Fulton, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

9001 Issued in TN

Practice address

8885 Patches CV
Bartlett, TN 38133-3801

Phone

(901) 619-0310

NPI assigned

Mar 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Anesthesia Services of Memphis, PLLC

  • Certified Registered Nurse Anesthetist
  • Cordova, TN
  • NPI 1568571610

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Medical Anesthesia Group, PA

  • Anesthesiology Physician
  • Memphis, TN
  • NPI 1679527501
  NPD (past)

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

{
    "created_epoch": "1141516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200096000000",
    "number": "1841267135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8885 PATCHES CV",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381333801",
            "telephone_number": "901-619-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8885 PATCHES CV",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381333801",
            "telephone_number": "901-619-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "KEITH",
        "middle_name": "QUENTIN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-05",
        "last_updated": "2008-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "9001",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "81-0068",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3600621",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "3155973",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Freyaldenhoven
• Leigha Friener, MA-CCC-SLP
• Frontlines Wellness Center PLLC
• Leah Fryar, M.D.
• Full Throttle Dental, PLLC
• Joanna H Fussell, BCBA
• Keith Baugus Fussell, LPC, LMFT
• Rex Joseph Gaines, FNP-C
• Melanie A Gallimore, MA
• Emma Gant, PHARMD

• Certified Registered Nurse Anesthetist in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2008; 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.