MS. KONDRA MIA FULMER (NPI# 1659304384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659304384 |
| Entity Type | Individual |
| Full Name | MS. KONDRA MIA FULMER |
| Practice Address |
975 N Selomons Island Prince Frederick MD 20678 |
| Mailing Address |
975 N Selomons Island Po Box 980 Prince Frederick MD 20678 |
| Practice Telephone | 4105355400 |
| Practice Fax Number | 4104149413 |
| Mailing Telephone | 4105355400 |
| Mailing Fax Number | 4104149413 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LC2175 | MD | Behavioral Health & Social Service Providers |
| Street Address |
975 N SELOMONS ISLAND |
| City | PRINCE FREDERICK |
| State | MD |
| Zip Code | 20678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857500 | Watershed Counseling Service | Counselor | 246 Merrimac Court, Prince Frederick, MD 20678 | 2015-12-23 |
| 1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
| 1891126827 | Jacqueline Leclercq | Nurse Practitioner | 110 Hospital Road Suite 303, Prince Frederick, MD 20678 | 2013-12-02 |
| 1174959001 | Linsey Rowe Heane | Physical Therapist | 110 Main Street Suite 1, Prince Frederick, MD 20678 | 2013-09-24 |
| 1053607002 | Tidewater Dental Pf | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678 | 2011-06-28 |
| 1033411558 | Sharon Patricia Parran | Pharmacist | 80 W.dares Beach Road, Prince Frederick, MD 20678 | 2010-12-04 |
| 1366684326 | Prince Frederick Surgery Center LLC | Clinic/Center | 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 | 2009-04-06 |
| 1982844734 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 220 Old Solomans Island Rd, Prince Frederick, MD 20678 | 2009-03-05 |
| 1225273519 | Rebecca Lynn Jahed | Audiologist | 3180 Blackberry Lane, Prince Frederick, MD 20678 | 2008-12-16 |
| 1669639209 | Ralph Walter Niemann | Dentist | 272 Merrimac Court, Prince Frederick, MD 20678 | 2008-05-21 |
| Find all providers in zip 20678 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275194656 | Ellen Hahn-hokrein | Counselor | 218 Merrimac Ct, Prince Frederick, MD 20678-6113 | 2019-06-26 |
| 1902114028 | Meredith Drumm | Counselor | 3695 Hallowing Point Rd, Prince Frederick, MD 20678-3468 | 2010-09-23 |
| 1790093664 | Spencer Byrnes | Counselor | 440 Solomons Island Rd N, Suite 222, Prince Frederick, MD 20678-3909 | 2010-09-14 |
| 1598389447 | Shaurice Allen | Counselor | 65 Duke St Ste 203, Prince Frederick, MD 20678-6128 | 2020-06-05 |
| 1538792692 | Xiaojing Huang | Counselor | 489 Main St, Prince Frederick, MD 20678-3187 | 2020-02-18 |
| 1891331153 | Kia Randall | Counselor | 489 Main St, Prince Frederick, MD 20678-3187 | 2019-11-21 |
| 1720620925 | Meghan Leisl Bernier | Counselor | 65 Duke St Ste 203, Prince Frederick, MD 20678-6128 | 2019-10-09 |
| 1891195319 | Harry Goldwater | Counselor | 489 Main St, Prince Frederick, MD 20678-3187 | 2014-09-03 |
| 1568879740 | Lashann M. Freeman | Counselor | 590 Main St, Prince Frederick, MD 20678-3346 | 2014-07-19 |
| 1215298583 | Heidi Pappert | Counselor | 1305 Dares Beach Rd, Prince Frederick, MD 20678-4208 | 2012-06-04 |
| Find all providers in PRINCE FREDERICK | ||||
| City | PRINCE FREDERICK |
| Zip Code | 20678 |
Please comment or provide details below to improve the information on MS. KONDRA MIA FULMER.
| 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.