MRS. KATHERINE ALLGOOD FULTON NNP NPI 1720411762

NPI Information

NPI: 1720411762
Provider Name: MRS. KATHERINE ALLGOOD FULTON, NNP
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

PECOS Registration: Yes

Address:
5 RIVER BEND PL
SUITE C
FLOWOOD, MS
ZIP 39232
Phone: (601) 957-7345
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MRS. Katherine Allgood Fulton, NNP is a neonatal nurse practitioner in Flowood, MS. MRS. Katherine Allgood Fulton, NNP NPI is 1720411762. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5 RIVER BEND PL
SUITE C
FLOWOOD, MS
ZIP 39232-618
Phone: (601) 957-7345
Fax: (769) 251-5429

The NPI 1720411762 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 8/13/2013 and was last updated on 5/16/2016.

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	363LN0005X	Nurse Practitioner	Neonatal, Critical Care	R880059	MISSISSIPPI	No
2	363LN0000X	Nurse Practitioner	Neonatal	R880059	MISSISSIPPI	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	313768YJ5D	MEDICARE PIN	MISSISSIPPI
2	01955831	MEDICAID	MISSISSIPPI

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: 4/28/2024

NPI Synchronization or Removal

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