Shannon Fultz , NP
Nurse Practitioner • Providence, RI
Professional Overview & Biography Verified Profile Summary
Shannon Fultz, NP is a registered healthcare professional specializing in Nurse Practitioner in Providence, RI. Practice services are available at 593 EDDY ST under active NPI credentials.
Practice Location & Contact Primary Location
593 Eddy St
Providence, RI 029034923
Specialty Benchmarks & Practice Insights
Comparative analytics for Nurse Practitioner in Providence, RI
Practicing in Providence, RI (397 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2026-07-29NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 363LA2100X
Definition to come...
Additional State Medicaid & Healthcare Payer Identifiers
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Anesthesiology - Pain Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Adult Health
ANPBC
Neurological Surgery
Doctor of Medicine (M.D.)
Neurological Surgery
Doctor of Medicine (M.D.)
Nurse Practitioner
Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)
Neurological Surgery
Doctor of Medicine (M.D.), Master of Public Health
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4017939166)
Registered at 15 LA SALLE SQ, PROVIDENCE, RI 029031814 (Tel: 4014446779)
Recorded as SHANNON FULTZ, NP
NPI status registered as active in NPPES database
Registered at 3 MYRTLE AVE, RIVERSIDE, RI 029154733 (Tel: 6037651431)
Registered at 3 MYRTLE AVE, RIVERSIDE, RI 029154733
Recorded as SHANNON FULTZ, APRN
Nurse Practitioner (License #APRN02454 in RI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
15 La Salle Sq
Providence, RI 029031814
Phone: 4014446779
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