Individual provider Active NPI

Daniel Arthur Fulton

  • Home Health Aide
  • Holland, OH
National Provider Identifier
1861088445
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
6864 Wexford Hill LN
Holland, OH 43528-8140
Phone
(419) 270-0469
NPI assigned
Dec 17, 2020
Last updated
Jan 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X NU Primary

Addresses

Primary practice location

6864 Wexford Hill LN
Holland, OH 43528-8140

Mailing address

6864 Wexford Hill LN
Holland, OH 43528-8140
Phone (419) 270-0469

Other identifiers 1

IdentifierTypeStateIssuer
2246484MedicaidOH

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1861088445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6864 WEXFORD HILL LN",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435288140",
            "telephone_number": "419-270-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6864 WEXFORD HILL LN",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435288140",
            "telephone_number": "419-270-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "DANIEL",
        "middle_name": "ARTHUR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-17",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2246484",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.