JACQUELINE NICOLE FULLERTON
NPI 1083144828
Occupational Therapist in Tuba City, AZ

Active since June 14, 2017
167 NORTH MAIN STREET, TUBA CITY, AZ 86045(928) 283-2590(928) 283-2591 Get Directions Write a Review

NPPES record last updated: June 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Nicole Fullerton NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE NICOLE FULLERTON (NPI 1083144828) is an individual occupational therapist in Tuba City, Arizona and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1083144828
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameJACQUELINE NICOLE FULLERTON
Location Address167 NORTH MAIN STREETTuba City, AZ 86045
Mailing Address2 Sturbridge CtBaldwin, MD 21013-9600 · (443) 504-3315
Fax(928) 283-2591
Sole ProprietorNo
Enumeration DateJune 14, 2017
NPI 1083144828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
167 NORTH MAIN STREET, Tuba City, AZ 86045

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Ambulatory Care)
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Nurse's Aide
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Specialist/Technologist Cardiovascular (Sonography)
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Fullerton's NPI number?

The NPI number for Jacqueline Fullerton is 1083144828. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Where is Jacqueline Fullerton located?

Jacqueline Fullerton practices at 167 North Main Street, Tuba City, AZ 86045. The listed phone number is (928) 283-2590.

What is Jacqueline Fullerton's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Fullerton was last updated on June 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.