Active NPI
Jeanette Pulsifer, LPN
- Nursing Care Agency
- Fayetteville, GA
National Provider Identifier
1861787731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 056-R-0821
- Practice address
- 134 Clark Rd
Fayetteville, GA 30215-5520 - Phone
- (678) 610-3170
- Fax
- (678) 610-3227
- NPI assigned
- Jun 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 056-R-0821 | GA | Primary |
Addresses
Primary practice location
134 Clark Rd
Fayetteville, GA 30215-5520
Mailing address
134 Clark Rd
Fayetteville, GA 30215-5520
Phone (678) 610-3170
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056-R-0821 | GA | MD | Nursing Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308268800000",
"number": "1861787731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 CLARK RD",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302155520",
"telephone_number": "678-610-3170",
"fax_number": "678-610-3227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 CLARK RD",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302155520",
"telephone_number": "678-610-3170",
"fax_number": "678-610-3227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULSIFER",
"first_name": "JEANETTE",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-17",
"last_updated": "2011-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "GA",
"license": "056-R-0821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.