Active NPI
Teresa Fulton, BSN, RN
- Ambulatory Care Registered Nurse
- Ft Campbell, KY
National Provider Identifier
1952094294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Registered Nurse
- License
- RN613887
- Practice address
- 7229 Nightstalker Way
Ft Campbell, KY 42223 - Phone
- (270) 461-3861
- Fax
- (270) 798-1118
- NPI assigned
- Jun 1, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | RN613887 | PA | |
| Case Management Registered Nurse | 163WC0400X | RN613887 | PA | |
| Ambulatory Care Registered Nurse | 163WP2201X | RN613887 | PA | Primary |
Addresses
Primary practice location
7229 Nightstalker Way
Ft Campbell, KY 42223
Mailing address
7229 Nightstalker Way
Ft Campbell, KY 42223
Phone (270) 461-3861
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN613887 | PA | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685577600000",
"number": "1952094294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7229 NIGHTSTALKER WAY",
"city": "FT CAMPBELL",
"state": "KY",
"postal_code": "42223",
"telephone_number": "270-461-3861",
"fax_number": "270-798-1118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7229 NIGHTSTALKER WAY",
"city": "FT CAMPBELL",
"state": "KY",
"postal_code": "42223",
"telephone_number": "270-461-3861",
"fax_number": "270-798-1118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULTON",
"first_name": "TERESA",
"credential": "BSN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-01",
"last_updated": "2023-06-01",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "PA",
"license": "RN613887",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "PA",
"license": "RN613887",
"primary": false
},
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "PA",
"license": "RN613887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Campbell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.