KATIE ELIZABETH FULMER (NPI# 1912256348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912256348 |
| Entity Type | Individual |
| Full Name | KATIE ELIZABETH FULMER |
| Credential | CRNP |
| Practice Address |
234 Keller Park Blvd Tuscumbia AL 35674 |
| Practice Telephone | 2563816963 |
| Practice Fax Number | 2563816018 |
| Mailing Telephone | 2563816963 |
| Mailing Fax Number | 2563816018 |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2014-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
1-1203027 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
234 KELLER PARK BLVD |
| City | TUSCUMBIA |
| State | AL |
| Zip Code | 35674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912992025 | Charles Wayne Melvin | Pediatrics | 234 Keller Park Blvd, Tuscumbia, AL 35674-1417 | 2005-09-14 |
| 1104382894 | Jessica Byrd | Nurse Practitioner | 234 Keller Park Blvd, Tuscumbia, AL 35674-1417 | 2019-02-18 |
| 1356818231 | Michelle Cornelius | Social Worker | 234 Keller Park Blvd, Tuscumbia, AL 35674-1417 | 2018-10-29 |
| 1518317684 | Alicia Nix | Nurse Practitioner | 234 Keller Park Blvd, Tuscumbia, AL 35674-1417 | 2016-06-20 |
| 1598127011 | Rachel Elise Schutt | Pediatrics | 234 Keller Park Blvd, Tuscumbia, AL 35674-1417 | 2016-03-23 |
| 1376933663 | Allyson D Johnson | Nurse Practitioner | 234 Keller Park Blvd, Tuscumbia, AL 35674-1417 | 2015-01-26 |
| 1790188324 | Carol Bishop | Nurse Practitioner | 234 Keller Park Blvd, Tuscumbia, AL 35674-1417 | 2014-09-26 |
| 1487075776 | Katie Schlarp | Nurse Practitioner | 234 Keller Park Blvd, Tuscumbia, AL 35674-1417 | 2014-01-03 |
| 1790023679 | Kacie Leigh Fuller | Nurse Practitioner | 234 Keller Park Blvd, Tuscumbia, AL 35674-1417 | 2013-01-28 |
| 1568728814 | Tetiana Litvinchuk | Pediatrics | 234 Keller Park Blvd, Tuscumbia, AL 35674-1417 | 2012-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720701 | Brandi Jackson | Nurse Practitioner | Tennessee Valley Pediatrics, 234 Keller Park, Tuscumbia, AL 35674 | 2020-08-14 |
| 1841661865 | Ashley Elizabeth Presley | Nurse Practitioner | 218 East 5th Street, Tuscumbia, AL 35674 | 2015-10-16 |
| 1487988150 | Susanna Hall | Nurse Practitioner | 1106 N Cave St, Tuscumbia, AL 35674 | 2009-09-28 |
| 1417115288 | Thomas Armstead Branscome | Dentist | 208 East Fifth Street, Tuscumbia, AL 35674 | 2008-05-29 |
| 1285712075 | Ent & Allergy Institute of North Al | Otolaryngology | 1106 North Cave Street, Tuscumbia, AL 35674 | 2006-11-01 |
| 1497840912 | Penny Oliver Townsend | Hearing Instrument Specialist | 116 East 5th Street, Tuscumbia, AL 35674 | 2006-10-03 |
| 1962470914 | David Bruce Laughlin | Family Medicine | 1404 Avalon Ave, Suite B-00, Tuscumbia, AL 35674 | 2006-03-08 |
| 1033192695 | Air Evac Ems Inc | Ambulance | 1010 3 Mile Ln, Tuscumbia, AL 35674 | 2005-11-28 |
| 1225142227 | Charles Michael Cowley | Dentist | 121 E 5th St, Tuscumbia, AL 35674 | 2006-08-18 |
| 1750331906 | Sunbridge Healthcare LLC | Skilled Nursing Facility | 813 Keller Ln, Tuscumbia, AL 35674-1110 | 2006-05-10 |
| Find all providers in zip 35674 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790188324 | Carol Bishop | Nurse Practitioner | 234 Keller Park Blvd, Tuscumbia, AL 35674-1417 | 2014-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636038 | Samantha Thompson | Nurse Practitioner | 1600 7th Ave S Fl 2, Birmingham, AL 35233-1711 | 2020-10-14 |
| 1831722289 | Tiffany Garrett | Nurse Practitioner | 333 Whitesport Dr Sw Ste 104, Huntsville, AL 35801-3455 | 2020-02-13 |
| 1033776612 | Erin Tracy Swing | Nurse Practitioner | 1600 7th Ave S Fl Apass2, Birmingham, AL 35233-1711 | 2019-05-20 |
| 1629531181 | Holley Lewis Collins | Nurse Practitioner | 1601 Center St Ste 1a, Mobile, AL 36604-1541 | 2019-04-11 |
| 1023591245 | Katherine Leigh Cassidy | Nurse Practitioner | 2001 Fieldstown Rd, Gardendale, AL 35071-4628 | 2018-09-13 |
| 1588145544 | Allison Mcdill Williams | Nurse Practitioner | 1101 Stephen J White Memorial Boulevard, Talladega, AL 35160 | 2018-08-27 |
| 1740769801 | Amy Leigh Jenkins | Nurse Practitioner | 1600 7th Ave S Bldg Suit5604, Birmingham, AL 35233-1711 | 2018-08-09 |
| 1467931949 | Kelly M Bonnett | Nurse Practitioner | 117 N Chalkville Rd, Trussville, AL 35173 | 2018-08-07 |
| 1184102931 | Molly Dixon Bolton | Nurse Practitioner | 1600 7th Ave S Bldg Suite620, Birmingham, AL 35233-1711 | 2018-08-03 |
| 1760968580 | Gladys Cooks | Nurse Practitioner | 8517 Highlands Trce, Trussville, AL 35173-3815 | 2018-07-15 |
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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.