KATHERINE ANN FULCO CNP NPI 1922316405

NPI Information

NPI: 1922316405
Provider Name: KATHERINE ANN FULCO, CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3850 WINDERMERE PKWY STE 105
CUMMING, GA
ZIP 30041
Phone: (678) 455-2800
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Katherine Ann Fulco, CNP is a family nurse practitioner in Cumming, GA with 14 years of experience. Katherine Ann Fulco, CNP NPI is 1922316405. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2010

The provider's business location address is:

3850 WINDERMERE PKWY STE 105
CUMMING, GA
ZIP 30041-033
Phone: (678) 455-2800
Fax: (770) 888-9998

The NPI 1922316405 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/18/2010 and was last updated on 1/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	71010054A	INDIANA	No
2	363LF0000X	Nurse Practitioner	Family	66369	WEST VIRGINIA	No
3	363LF0000X	Nurse Practitioner	Family	RN316853	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	300042114	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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