MRS. PAULA DAVIS FULTZ (NPI# 1538381439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538381439 |
| Entity Type | Individual |
| Full Name | MRS. PAULA DAVIS FULTZ |
| Other Name | MRS. PAULA ANN FULTZ |
| Credential | P.C.C.-.S,R.D.,L.D. |
| Practice Address |
303 E. Bagley Road Berea OH 44017 |
| Mailing Address |
10509 Kings Way N. Royalton OH 44133-1970 |
| Practice Telephone | 4402608375 |
| Practice Fax Number | 4402608390 |
| Mailing Telephone | 4405823744 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
E0003210SUPV | OH | Behavioral Health & Social Service Providers |
| X | 133V00000X | Dietitian, Registered | LD861 | OH | Dietary & Nutritional Service Providers |
| Street Address |
303 E. BAGLEY ROAD |
| City | BEREA |
| State | OH |
| Zip Code | 44017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023632759 | Faseeha Raza | Student in an Organized Health Care Education/Training Program | Baldwin Wallace University Physician Assistant Program, 201 Front Street, Berea, OH 44017 | 2020-05-28 |
| 1851885412 | Monica Lynne Mcfarland | Occupational Therapy Assistant | 570 North Rocky River Drive, Berea, OH 44017 | 2018-06-18 |
| 1700301207 | Cherelle Scott | Counselor | 398 W Bagley Road Ste, Suite 216, Berea, OH 44017 | 2017-08-07 |
| 1780042457 | Linda Lou Cummings | Social Worker | 202 E. Bagley Road, Berea, OH 44017 | 2016-02-09 |
| 1760827042 | Pathways Hospice LLC | Hospice Care, Community Based | 885 W. Bagley Road, Berea, OH 44017 | 2013-05-01 |
| 1336457134 | Mary Elizabeth Italiano-burke | Licensed Practical Nurse | 90 Emerson Dr., #11009, Berea, OH 44017 | 2010-09-15 |
| 1720260979 | Cooperative Medical Health Care Corporation Professional Association | Mechanotherapist | 165 W. Bagley Rd., Berea, OH 44017 | 2007-11-29 |
| 1326230616 | Marilyn Sue George | Psychoanalyst | 187 Seminary St, Berea, OH 44017 | 2007-08-10 |
| 1437371556 | Michael Charles Powell | Registered Nurse | 501 Nobottom Rd, Berea, OH 44017 | 2007-05-02 |
| 1073631065 | Robert W Basalla | Dentist | 347 Front Street, Berea, OH 44017 | 2007-03-27 |
| Find all providers in zip 44017 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700301207 | Cherelle Scott | Counselor | 398 W Bagley Road Ste, Suite 216, Berea, OH 44017 | 2017-08-07 |
| 1386845824 | Todd D. Hendrix | Counselor | 218 Race St, Berea, OH 44017-2321 | 2007-05-31 |
| 1811509235 | Casey Farris | Counselor | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2020-08-18 |
| 1780148841 | Irena Arkhypenko | Counselor | 434 Eastland Rd, Berea, OH 44017-1217 | 2019-01-23 |
| 1083182570 | Laura Weitkamp | Counselor | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2018-11-02 |
| 1891274767 | Johanna L Toomey | Counselor | 429 Front St, Berea, OH 44017-1716 | 2018-08-10 |
| 1649775248 | Karissa L Anderson | Counselor | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2018-03-26 |
| 1194233726 | Ashley Dawn Peace | Counselor | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2018-01-17 |
| 1508378852 | Brittany L Lakes | Counselor | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2017-10-26 |
| 1245767904 | Audrey Grace Truett | Counselor | 104 Legacy Dr, Berea, KY 40403-9594 | 2017-05-12 |
| Find all providers in BEREA | ||||
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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.