Active NPI
Allison N Fullerton, LPN
- Licensed Practical Nurse
- Arcadia, FL
National Provider Identifier
1912334095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN5162961
- Practice address
- 34 S Baldwin Ave
Arcadia, FL 34266-3387 - Phone
- (863) 491-7580
- Fax
- (863) 491-7584
- NPI assigned
- Oct 3, 2013
- Last updated
- Oct 3, 2013
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN5162961 | FL | Primary |
Addresses
Primary practice location
34 S Baldwin Ave
Arcadia, FL 34266-3387
Mailing address
34 S Baldwin Ave
Arcadia, FL 34266-3387
Phone (863) 491-7580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PN5162961 | Other | FL | FLORIDA LICENSE |
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 |
|---|---|---|---|
| PN5162961 | FL | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1912334095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 S BALDWIN AVE",
"city": "ARCADIA",
"state": "FL",
"postal_code": "342663387",
"telephone_number": "863-491-7580",
"fax_number": "863-491-7584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 S BALDWIN AVE",
"city": "ARCADIA",
"state": "FL",
"postal_code": "342663387",
"telephone_number": "863-491-7580",
"fax_number": "863-491-7584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLERTON",
"first_name": "ALLISON",
"middle_name": "N",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-03",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "FL",
"license": "PN5162961",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSE",
"identifier": "PN5162961",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, FL
- Juan Carlos Fernandez, APRN
- Florida Department of Health (DeSoto County Health Department)
- Florida Hospital Physician Group Inc (AdventHealth Obstetrics and Gynecology Clinic Arcadia)
- Staci M Forinash, LPN
- Cecile Carolyn Foubister, RN
- Paul Furino, APRN
- Isabelle Kayden Fusaro
- Lori Fussell, LPN
- G4S Youth Services, LLC (Spring Lake Youth Academy)
- Sherri L Gabel
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.