KIMBERLY FULTZ


Address: 677 E. Main St./ste A, Centreville, MI 49032-3071
Phone: 2694671000

KIMBERLY FULTZ (NPI# 1356796726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356796726
Entity Type Individual
Full Name KIMBERLY FULTZ
Practice Address 677 E. Main St./ste A
Centreville
MI 49032-3071
Practice Telephone 2694671000
Mailing Telephone 2694671000
Enumeration Date 2016-05-04
Last Update Date 2016-08-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 677 E. MAIN ST./STE A
City CENTREVILLE
State MI
Zip Code 49032-3071

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669901815 Bridge Healthcare Pharmacy LLC Pharmacy 658 E. Main St, Suite 1, Centreville, MI 49032 2017-06-09
1962700054 Jennifer Rose Fisher Social Worker 677 E. Main Street, Centreville, MI 49032 2011-03-14
1437452240 Carol Ann Naccarato Registered Nurse 677 East Main Street, Suite A, Centreville, MI 49032 2010-12-16
1003120510 Rebecca Nicole Brueck Registered Nurse 677 East Main, Suite A, Centreville, MI 49032 2010-07-27
1497081723 Travis Scott Kohl Counselor 677 East Main St, Suite A, Centreville, MI 49032 2009-10-21
1811142946 Paula Therese Berchiatti Counselor 677a E. Main Street, Centreville, MI 49032 2008-11-17
1669628160 Bruce Ronald Hyde Family Medicine 658 E Main St, Centreville, MI 49032 2008-08-15
1932398815 Heather Nicole Decastro Counselor 377a East Main, Centreville, MI 49032 2007-10-17
1073686432 Linda Sue Overholt Counselor 338 N Fisher Ln, Centreville, MI 49032 2006-11-15
1174600522 Stacy M Linihan Social Worker 658 East Main, Centreville, MI 49032 2006-11-01
Find all providers in zip 49032

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770969602 Melanie R Eifort Peer Specialist 677 E Main Street, Suite A, Centreville, MI 49032-8525 2015-08-03
1750917472 Betsy Jean Wright Peer Specialist 677 E Main St Ste A, Centreville, MI 49032-8525 2020-03-13
1750895009 Amy Jo Kern Peer Specialist 677 E Main St Ste A, Centreville, MI 49032-8525 2017-11-24
1992257653 Kristy Barkley Peer Specialist 677 E Main St, Centreville, MI 49032-8524 2016-10-28
1194186742 Clark Fries Peer Specialist 677 E Main St Ste A, Centreville, MI 49032-8525 2016-03-10
1245606839 Sherry Combs Peer Specialist 677 East Main Street, Suite A, Centreville, MI 49032-8525 2015-08-18
1508241621 Catherine E Taylor Peer Specialist 677 East Main Street, Suite A, Centreville, MI 49032-8525 2015-07-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063026284 Leah Mae Sindone Peer Specialist 22324 Derby Rd, Woodhaven, MI 48183-3700 2020-09-04
1992314728 Willie Earl Feggins Peer Specialist 370 Country Club Rd, Holland, MI 49423-8303 2020-07-28
1831711613 John Lee Williams Jr. Peer Specialist 24400 Schoolcraft, Redford, MI 48239-2633 2020-05-14
1568084861 Zannie Roy Jackson Jr. Peer Specialist 36801 Ann Arbor Trl, Livonia, MI 48150-3422 2020-05-11
1417578865 Veronica R Vasquez Peer Specialist 500 Hancock St # 48602, Saginaw, MI 48602-4224 2020-04-27
1235768680 Matthew Milz Peer Specialist 145o S Lapeer Rd, Oxford, MI 48371-4982 2020-04-07
1558996132 Camille Jewell Jackson Peer Specialist 8181 N Wayne Rd Apt S2147, Westland, MI 48185-3842 2020-03-04
1073146908 James Laroach Peer Specialist 913 W. Homes Suite 200, Lansing, MI 48910 2020-02-19
1578193827 Axel Lee Gruenberg Peer Specialist 221790 West 9 Mile, Southfield, MI 48033 2020-01-24
1962032078 Brianne Salchert Peer Specialist 1170 Michigan Rd., Port Huron, MI 48060 2020-01-17
Find all providers with the same taxonomy

Competitor

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City CENTREVILLE
Zip Code 49032

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Dataset Information

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.

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