TARA FULKERSON


Address: 4710 Champions Trace Ln, #104, Louisville, KY 40218-3495
Phone: 5025898600

TARA FULKERSON (NPI# 1265772867) 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) 1265772867
Entity Type Individual
Full Name TARA FULKERSON
Practice Address 4710 Champions Trace Ln
#104
Louisville
KY 40218-3495
Mailing Address 101 W Muhammad Ali Blvd
Louisville
KY 40202-1423
Practice Telephone 5025898600
Practice Fax Number 5025898771
Enumeration Date 2013-02-20
Last Update Date 2014-05-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 225C00000X Rehabilitation Counselor Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 4710 CHAMPIONS TRACE LN
#104
City LOUISVILLE
State KY
Zip Code 40218-3495

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104849348 James Arthur Covert Social Worker 4710 Champions Trace Ln, #102, Louisville, KY 40218-3495 2006-07-26
1669993176 Amanda Bell Nurse Practitioner 4710 Champions Trace Ln, Louisville, KY 40218-3495 2017-07-06
1811389109 Stephanie Waddell Social Worker 4710 Champions Trace Ln, Louisville, KY 40218-3495 2015-02-24
1245621788 Taylor Roberts Social Worker 4710 Champions Trace Ln, Suite 102, Louisville, KY 40218-3495 2015-02-05
1386051548 Danielle Cinderella Casson Counselor 4710 Champions Trace Ln, Louisville, KY 40218-3495 2014-07-18
1508270257 Kathy Lynn Jankowski Social Worker 4710 Champions Trace Ln, Louisville, KY 40218-3495 2014-06-19
1568880656 Valerie Sandusky Counselor 4710 Champions Trace Ln, Louisville, KY 40218-3495 2014-04-04
1801213970 Dawn Alicia May Crutcher Afitlhile Social Worker 4710 Champions Trace Ln, Ste. 107, Louisville, KY 40218-3495 2014-03-26
1982029328 James Wathen IIi Counselor 4710 Champions Trace Ln, Suite 101, Louisville, KY 40218-3495 2014-02-21
1346664240 Susan Ahlhaus Counselor 4710 Champions Trace Ln, Louisville, KY 40218-3495 2014-02-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457951170 Okey Patrick Mbadike Pharmacist 3616 Buechal By Pass, Louisville, Ky 40218, Louisville, KY 40218 2020-10-30
1992339345 Rachael P. Abell Nurse Practitioner 2210 Buechel Avenue Suite 105, Louisville, KY 40218 2020-02-25
1750938189 Taylor C Thomas Nurse Practitioner 4423 Bardstown Road, Louisville, KY 40218 2019-08-21
1902461692 Louisville Injury Clinics, Inc Chiropractor 4400 Breckenridge Lane, Suite 102, Louisville, KY 40218 2019-05-08
1629564141 Stepping Stones Counseling Social Worker 5414 Bannon Crossing Dr, Louisville, KY 40218 2018-07-09
1396230553 Kids Without Limits LLC Home Health 2204 Bashford Manor Ln, Louisville, KY 40218 2018-06-28
1073008074 B F P D Ambulance 4101 Bardstown Rd, Louisville, KY 40218 2018-06-22
1508358862 Mary Katherine Biros Nurse Practitioner 2202 Buechel Ave Ste 105, Louisville, KY 40218 2018-06-03
1366931644 Irena Kuca Student in an Organized Health Care Education/Training Program 215 Central Avenue Suite 100, Louisville, KY 40218 2018-05-02
1760979124 Healthy Living Primary Care General Practice 4400 Breckenridge Ln Ste 147, Louisville, KY 40218 2018-04-20
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922607605 Yasmeen Barnes Case Manager/Care Coordinator 10207 Allentree Pl, Louisville, KY 40229-2214 2020-10-22
1851914048 Ryon Piphus Case Manager/Care Coordinator 1169 Eastern Pkwy Ste 336, Louisville, KY 40217-1417 2020-05-21
1154969129 Michelle Rae Hicks Case Manager/Care Coordinator 1151 S 4th St Ste 208, Louisville, KY 40203-3101 2019-12-20
1992340699 Sharmika Berry Case Manager/Care Coordinator 3728 Chamberlain Ct, Louisville, KY 40241-1753 2019-11-17
1790320570 Yinethia Brown Case Manager/Care Coordinator 8425 Biggin Hill Ln, Louisville, KY 40220-4107 2019-11-15
1508412859 Erika Lynum Case Manager/Care Coordinator 3709 Modesto Rd, Louisville, KY 40299-1443 2019-08-13
1487215703 Flore Cogswell Case Manager/Care Coordinator 3301 Protege Pl Unit 102, Louisville, KY 40245-7731 2019-06-26
1699234849 Amanda Brown Case Manager/Care Coordinator 4405 Bridgeman Ct, Louisville, KY 40218-3039 2019-03-18
1629535430 Cynthia Sue Howard Case Manager/Care Coordinator 103 Wickfield Dr, Louisville, KY 40245-4054 2019-02-28
1669966966 David Lee Sullivan Jr. Case Manager/Care Coordinator 513 Cannons Ln, Louisville, KY 40207-3645 2018-06-20
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Competitor

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City LOUISVILLE
Zip Code 40218

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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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