STEPHANIE M FULMER (NPI# 1235652967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235652967 |
Entity Type | Individual |
Full Name | STEPHANIE M FULMER |
Credential | FNP-BC |
Practice Address |
2351 Evans Street Suite A Newberry SC 29108 |
Mailing Address |
Po Box 6069 West Columbia SC 29171-6069 |
Practice Telephone | 8032767978 |
Enumeration Date | 2017-07-25 |
Last Update Date | 2020-10-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
21174 | SC | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
21174 | SC | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2720 Sunset Blvd, West Columbia, SC 291694810 | 8037912000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942639943 | Stephanie Celeste Fulmer | Behavioral Analyst | 220 G St Sw, Ardmore, OK 73401-4955 | 2013-11-11 |
Street Address |
2351 EVANS STREET SUITE A |
City | NEWBERRY |
State | SC |
Zip Code | 29108 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104472109 | Palmetto Bone and Joint | Pain Medicine | Palmetto Bone and Joint, 2605 Kinard St Suite 105, Newberry, SC 29108 | 2019-08-15 |
1922578582 | Joni Seibert Chapman | Registered Nurse | 3419 Main Street, Newberry, SC 29108 | 2018-11-27 |
1497152177 | Frances Diane Martin | Registered Nurse | 9307 Sc Highway 34, Newberry, SC 29108 | 2014-11-25 |
1528463254 | Lauren Flynn | Registered Nurse | 3419 Main St, Newberry, SC 29108 | 2014-10-23 |
1689017998 | Charlene Kneece | Registered Nurse | 255 Hawkins Road, Newberry, SC 29108 | 2013-04-17 |
1952642423 | Allison Kyzer Gardner | Chiropractor | 3218 College Street, Newberry, SC 29108 | 2013-03-08 |
1972853372 | Dipa Mcgee | Pharmacist | 1210 Wilson Road, Newberry, SC 29108 | 2012-09-12 |
1730339060 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 2850 Kinard St, Newberry, SC 29108 | 2008-09-23 |
1508042201 | Newberry Oncology Associates | Radiology | 298 Commerce Dr., Newberry, SC 29108 | 2008-01-14 |
1144352097 | Betty M Summer | Nurse Practitioner | Msa Hospice, 2228 Harrington Sr, Newberry, SC 29108 | 2007-03-09 |
Find all providers in zip 29108 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942770086 | Ithamesia Rodgers | Nurse Practitioner | 2041 Medical Park Dr, Newberry, SC 29108-2249 | 2018-12-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316547649 | Tabia Oni Mcmullen | Nurse Practitioner | 2850 Ashley Phosphate Rd Ste A, North Charleston, SC 29418-4403 | 2020-10-27 |
1629684576 | Matthew David Zeuschner | Nurse Practitioner | 107 Woodwind Court, Myrtle Beach, SC 29572 | 2020-09-16 |
1528679982 | Laura Robinson | Nurse Practitioner | 2501 Mission Rd, York, SC 29745-8319 | 2020-08-11 |
1205468162 | Erin Leigh Edwards | Nurse Practitioner | 3980 Highway 9 E Ste 310, Little River, SC 29566-8165 | 2020-02-10 |
1780223685 | Estella Janean Hill | Nurse Practitioner | 110 Wayline Ct, Greenville, SC 29605-6451 | 2019-12-26 |
1912543430 | Megan Purvis Halkowitz | Nurse Practitioner | 108 Wild Meadows Dr, Anderson, SC 29621-3787 | 2019-11-19 |
1427699297 | Meredith Sutton Proctor | Nurse Practitioner | 2111 Whispering Winds Dr, Rock Hill, SC 29732-8870 | 2019-10-03 |
1467000794 | Stephanie Van Camp | Nurse Practitioner | 125 Commonwealth Dr Unit 210, Greenville, SC 29615-4812 | 2019-08-29 |
1346713138 | Paula Breeden Lowther | Nurse Practitioner | 844 Stratford Run Dr, Fort Mill, SC 29708-5701 | 2019-01-04 |
1881174936 | Jaclyn Sudol | Nurse Practitioner | 2946 Ashley River Rd, Charleston, SC 29414-7049 | 2018-08-17 |
Find all providers with the same taxonomy |
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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.