IndividualActive
Shelly Fultz, LPN
NPI 1194966762 · Licensed Practical Nurse · Roseburg, OR
Shelly Fultz, LPN is a Licensed Practical Nurse provider in Roseburg, OR (NPI 1194966762).
Provider details
- NPI number
- 1194966762
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- 200330356LPN (OR)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
913 Nw Garden Valley Blvd
Roseburg, OR 97471-6523
Phone: (541) 440-1260
Street-level locationGet directions
Mailing address
913 Nw Garden Valley Blvd
Roseburg, OR 97471-6523
Registry dates
- Enumerated
- 2009-03-11
- Last updated
- 2009-03-11
Frequently asked questions
- What is Shelly Fultz's NPI number?
- Shelly Fultz's National Provider Identifier (NPI) is 1194966762, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shelly Fultz's specialty?
- Shelly Fultz is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Shelly Fultz located?
- Shelly Fultz's practice location on file with NPPES is 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523.
- What is Shelly Fultz's phone number?
- The practice phone number listed in the NPPES registry for Shelly Fultz is (541) 440-1260.
- Is Shelly Fultz's NPI active?
- Yes — Shelly Fultz's NPI (1194966762) is active in the NPPES registry as of the last update on 2009-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.