CAROL A STULTS (NPI# 1205115649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205115649 |
| Entity Type | Individual |
| Full Name | CAROL A STULTS |
| Other Name | CAROL A SPRINGER |
| Credential | NP |
| Practice Address |
5649 Coventry Ln Fort Wayne IN 46804-7145 |
| Practice Telephone | 2604366565 |
| Practice Fax Number | 2604591130 |
| Mailing Telephone | 2604366565 |
| Mailing Fax Number | 2604591130 |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2012-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
28072562A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201039990 | 05 |
| Street Address |
5649 COVENTRY LN |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-7145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750317590 | Perry Lynn Lyons | Chiropractor | 5649 Coventry Ln, Fort Wayne, IN 46804-7145 | 2006-06-23 |
| 1285900282 | Aboite Health Center, Inc. | Chiropractor | 5649 Coventry Ln, Fort Wayne, IN 46804-7145 | 2012-03-24 |
| 1316142094 | Lyons Chiropractic Clinic | Chiropractor | 5649 Coventry Ln, Fort Wayne, IN 46804-7145 | 2007-06-20 |
| 1629116868 | Nancy Vaden Gardner | Registered Nurse | 5649 Coventry Ln, Fort Wayne, IN 46804-7145 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255815379 | Amanda Kay Goins | Nurse Practitioner | 3919 W Jefferson Blvd Ste B, Fort Wayne, IN 46804-6811 | 2018-09-25 |
| 1558960179 | Omolola Beaird | Nurse Practitioner | 1717 S Calhoun St, Fort Wayne, IN 46802-5257 | 2020-10-24 |
| 1104473255 | Linzie A Howard | Nurse Practitioner | 3010 Independence Dr, Fort Wayne, IN 46808-1328 | 2019-08-23 |
| 1154809036 | Amy Marie Harmeyer | Nurse Practitioner | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 | 2018-08-01 |
| 1518409812 | Heather Janel Frazier | Nurse Practitioner | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2016-11-17 |
| 1649461005 | Sarah D Heck | Nurse Practitioner | 4666 W Jefferson Blvd, Suite 140, Fort Wayne, IN 46804-6892 | 2007-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809140 | Indiana Suburban Visiting Physician Services | Nurse Practitioner | 5 Washington St Ste 300, Valparaiso, IN 46383-4769 | 2020-10-20 |
| 1033737069 | Housecalls/optum for United Health Group | Nurse Practitioner | 518 Euclid Ave, Greenwood, IN 46142-3618 | 2020-07-07 |
| 1497382030 | Toya Jamillah Woods | Nurse Practitioner | 3814 Grant St, Gary, IN 46408-2150 | 2020-03-24 |
| 1558905554 | Amy Hueston | Nurse Practitioner | 313 S Berkley Rd, Kokomo, IN 46901-5114 | 2019-11-01 |
| 1891338166 | Jayme Lantz | Nurse Practitioner | 20085 Turquoise Ln, Goshen, IN 46528-6294 | 2019-10-19 |
| 1033761770 | Workplace Health Services | Nurse Practitioner | 1632 W. In-28, Frankfort, IN 46041 | 2019-07-12 |
| 1164984597 | Care At Home LLC | Nurse Practitioner | 717 Washington Park Blvd, Michigan City, IN 46360-2056 | 2019-04-04 |
| 1972084267 | Kelly Sue Ann Peasley | Nurse Practitioner | 2101 Jackson St Ste 8, Anderson, IN 46016-4341 | 2018-08-24 |
| 1891271466 | Hilton Health Housecall LLC | Nurse Practitioner | 4340 Trace Wood Dr, Indianapolis, IN 46254-6238 | 2018-07-17 |
| 1235634221 | Laura D Cannon | Nurse Practitioner | 6375 U S Hwy 6, Portage, IN 46368-5218 | 2018-03-29 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
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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.