MS. ANNE MARIE FULTZ (NPI# 1154446771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154446771 |
Entity Type | Individual |
Full Name | MS. ANNE MARIE FULTZ |
Credential | OTR |
Practice Address |
830 Scenic Dr Modesto CA 95350-6131 |
Mailing Address |
6936 Shoemake Ave Modesto CA 95358-8595 |
Practice Telephone | 2095587472 |
Practice Fax Number | 2095588649 |
Mailing Telephone | 2095449468 |
Mailing Fax Number | 2095589649 |
Enumeration Date | 2007-03-20 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
13 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
830 SCENIC DR |
City | MODESTO |
State | CA |
Zip Code | 95350-6131 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275559411 | Scenic Faculty Medical Group, Inc. | Family Medicine | 830 Scenic Dr, Sfmg, Modesto, CA 95350 | 2006-07-14 |
1134659451 | Christine Cole | Registered Nurse | 830 Scenic Dr, Modesto, CA 95350-6131 | 2017-06-19 |
1740711332 | Meaghan Victoria Kingsley-teem | Pediatrics | 830 Scenic Dr, Modesto, CA 95350-6131 | 2017-03-24 |
1134576481 | Martha Quesada-beckner | Nurse Practitioner | 830 Scenic Dr, Modesto, CA 95350-6131 | 2016-05-17 |
1619341401 | Harbindar Singh | Registered Nurse | 830 Scenic Dr, Modesto, CA 95350-6131 | 2015-11-17 |
1417342270 | Arlene Presinal | Registered Nurse | 830 Scenic Dr, Building 3, Modesto, CA 95350-6131 | 2015-03-30 |
1730585134 | Gina Fleming | Registered Nurse | 830 Scenic Dr, Modesto, CA 95350-6131 | 2014-11-12 |
1265838767 | Abievhese Lawani | Registered Nurse | 830 Scenic Dr, Modesto, CA 95350-6131 | 2014-11-10 |
1184023129 | Rebecca Evans | Registered Nurse | 830 Scenic Dr, Modesto, CA 95350-6131 | 2014-08-15 |
1093127573 | Belinda Kea | Family Medicine | 830 Scenic Dr, Modesto, CA 95350-6131 | 2014-06-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
Find all providers in zip 95350 |
Taxonomy Code | 225XH1200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
Specialization | Hand |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760519607 | Colette Perine | Occupational Therapist | 201 E Orangeburg Ave, Suite E, Modesto, CA 95350-5355 | 2007-02-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518568559 | Mary Jean Allan | Occupational Therapist | 1070 Crestline Cir, El Dorado Hills, CA 95762-7223 | 2020-11-05 |
1154957280 | Jennifer Marie Macintire | Occupational Therapist | 7000 East Ave # B663l723, Livermore, CA 94550-9698 | 2020-03-20 |
1699324988 | Gabriela Garcia | Occupational Therapist | 15311 Gundry Ave Unit 11, Paramount, CA 90723-3987 | 2019-09-09 |
1720648298 | Josephine Mickelsen | Occupational Therapist | 22961 Soledad Canyon Rd, Santa Clarita, CA 91350-2633 | 2019-06-17 |
1376109108 | Bryan Kang | Occupational Therapist | 2411 Vanderbilt Ln # B, Redondo Beach, CA 90278-3213 | 2019-05-16 |
1104383074 | Hand Rehab Pros Antelope Valley | Occupational Therapist | 1037 E Palmdale Blvd Ste 201, Palmdale, CA 93550-4745 | 2019-02-26 |
1154886513 | Christine Clermont | Occupational Therapist | 1025 Service Pl, Vista, CA 92084-7200 | 2019-02-09 |
1831662287 | Arshia Mohamadi | Occupational Therapist | 2211 W Magnolia Blvd Ste 295, Burbank, CA 91506-1753 | 2019-01-09 |
1609354752 | Leigha Holtzhouser | Occupational Therapist | 15525 Pomerado Rd Ste C8, Poway, CA 92064-2426 | 2018-07-31 |
1669978292 | Brian David Van Der Wyk | Occupational Therapist | 9819 Nadine St, Temple City, CA 91780-2621 | 2018-04-03 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.