MRS. KIMBERLY FULP


Address: 900 Old Winston Rd, Suite 106, Kernersville, NC 27284-9965
Phone: 3369935769

MRS. KIMBERLY FULP (NPI# 1316099369) 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) 1316099369
Entity Type Individual
Full Name MRS. KIMBERLY FULP
Credential M.A., CCC-SLP
Practice Address 900 Old Winston Rd
Suite 106
Kernersville
NC 27284-9965
Practice Telephone 3369935769
Practice Fax Number 3369938992
Mailing Telephone 3369935769
Mailing Fax Number 3369938992
Enumeration Date 2007-01-18
Last Update Date 2011-09-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 2306 NC Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 7434118 05

Office Location

Street Address 900 OLD WINSTON RD
SUITE 106
City KERNERSVILLE
State NC
Zip Code 27284-9965

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265432983 Alison Townsend Snider Family Medicine 900 Old Winston Rd, Suite 222, Kernersville, NC 27284-8119 2005-07-22
1265851430 Triad Family Chiropractic, Pllc Chiropractor 900 Old Winston Rd, Suite 208, Kernersville, NC 27284-9964 2014-04-15
1598013781 Teresa G. Biggerstaff, Dds, Md, Pa Dentist 900 Old Winston Rd, Suite 204, Kernersville, NC 27284-9964 2012-08-21
1790056075 Julie Marie Jordan Nurse Practitioner 900 Old Winston Rd, Kernersville, NC 27284-9964 2012-01-19
1932429958 Kimley Craig Hensley Jr. Chiropractor 900 Old Winston Rd, Suite 208, Kernersville, NC 27284-9964 2010-06-02
1306013628 Triad Interventional Pain Center, Pa Pain Medicine 900 Old Winston Rd, Suite 112, Kernersville, NC 27284-9964 2008-05-15
1487867347 Laurel Creek Family Medicine, Pllc Family Medicine 900 Old Winston Rd, Suite 222, Kernersville, NC 27284-8119 2007-05-08
1023138435 Teresa Gehret Biggerstaff Dentist 900 Old Winston Rd, Suite 204, Kernersville, NC 27284-9964 2007-03-30
1750418968 Karen M Timbrook-dillow Physician Assistant 900 Old Winston Rd, Suite 222, Kernersville, NC 27284-9964 2007-02-27
1831288752 Angela M Mcclung Physician Assistant 900 Old Winston Rd, Ste 222, Kernersville, NC 27284-8119 2006-10-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013549047 Katie Lee Sherman Student in an Organized Health Care Education/Training Program 9372 Pumpkin Ridge Rd, Kernersville, NC 27284 2020-02-07
1861049231 Bethany Medical Center Internal Medicine 975 Hwy 66 S, Kernersville, NC 27284 2019-08-21
1114490810 Lindsey Sarvis Social Worker 2301 Lake Shore Reserve Court, Kernersville, NC 27284 2019-01-04
1073091088 Gastroenterology Associates of The Piedmont, P.a. Internal Medicine 445 Pineview Dr Ste 200b, Kernersville, NC 27284 2018-08-01
1942786629 Brea Anjanee' Washington Nurse Practitioner 1635 Nc 66 South, Suite 145, Kernersville, NC 27284 2018-07-16
1992216246 Charley Elizabeth Cummings Physician Assistant 1635 Nc-66, Kernersville, NC 27284 2017-10-13
1902324304 Susan Marie Garcia Counselor 822 Old Winston Road, Suite 5, Kernersville, NC 27284 2017-09-06
1871034603 Ljp Lab LLC Clinical Medical Laboratory 495 Arbor Hill Rd Ste S, Kernersville, NC 27284 2017-03-13
1912446253 Knew Era Consulting Counselor 335 Creekview Drive, Kernersville, NC 27284 2017-02-20
1144686593 Amber Moore Counselor 822 Old Winston Rd, Suite 5, Kernersville, NC 27284 2016-01-14
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003212986 Theresa Rieves Speech-Language Pathologist 106 Janeway Ct, Kernersville, NC 27284-2403 2014-11-05
1912335704 Jessica Brooks Speech-Language Pathologist 100 Margate Cir, Kernersville, NC 27284-9138 2013-10-15
1588930556 Shannon Smith Mcfarland Speech-Language Pathologist 606 Gordon St, Kernersville, NC 27284-2225 2012-03-23
1245551720 M&w Lett Enterprises,inc. Speech-Language Pathologist 7612 Trebbiano Dr, Kernersville, NC 27284-8793 2010-06-18
1336391630 Mary Lynn Hastings Speech-Language Pathologist 226 Julian Pond Ln, Kernersville, NC 27284-2461 2008-10-17
1255537049 Cynthia Myrick Speech-Language Pathologist 1700 Avenbury Ct, Kernersville, NC 27284-8653 2007-06-27
1477186021 Mia Letitia Brydie Speech-Language Pathologist 728 Piney Grove Rd, Kernersville, NC 27284-2335 2020-02-21
1578044723 Lauren Myers Speech-Language Pathologist 728 Piney Grove Rd, Kernersville, NC 27284-2335 2018-08-26
1043597545 Jessica Roten Klamfoth Speech-Language Pathologist 1730 Kernersville Medical Pkwy Ste 201, Kernersville, NC 27284-7198 2011-11-10
1881869030 Andrea Lynn Dew Speech-Language Pathologist 728 Piney Grove Rd, Kernersville, NC 27284-2335 2008-04-29
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Competitor

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City KERNERSVILLE
Zip Code 27284

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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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