CHRISTINE FULTYN (NPI# 1427574904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427574904 |
Entity Type | Individual |
Full Name | CHRISTINE FULTYN |
Credential | PSYD |
Practice Address |
1900 W Sunshine St Springfield MO 65807-2240 |
Practice Telephone | (417) 862-7041 |
Mailing Telephone | 4178627041 |
Enumeration Date | 2017-08-16 |
Last Update Date | 2017-08-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY9490 | FL | Behavioral Health & Social Service Providers |
Street Address |
1900 W SUNSHINE ST |
City | SPRINGFIELD |
State | MO |
Zip Code | 65807-2240 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033115811 | Christine Ann Nemeti | Social Worker | 1900 W Sunshine St, Springfield, MO 65807-2240 | 2005-06-24 |
1891315032 | Steven Michael Dillman | Social Worker | 1900 W Sunshine St, Springfield, MO 65807-2240 | 2020-04-17 |
1851878714 | Chelsea Brieman | Psychologist | 1900 W Sunshine St, Springfield, MO 65807-2240 | 2018-07-24 |
1912435652 | Christine Arielle Tebbe | Pharmacist | 1900 W Sunshine St, Springfield, MO 65807-2240 | 2017-05-25 |
1134669856 | Caroline Grace Dotson | Social Worker | 1900 W Sunshine St, Springfield, MO 65807-2240 | 2017-02-28 |
1346525292 | Ernesto Madayag Gapasin Sr. | Surgery | 1900 W Sunshine St, Springfield, MO 65807-2240 | 2011-10-11 |
1982830501 | Alison Mcgee Nelson | Dentist | 1900 W Sunshine St, Springfield, MO 65807-2240 | 2009-06-10 |
1952569030 | James Kenneth Wolfson | Psychiatry & Neurology | 1900 W Sunshine St, Us Medical Center for Federal Prisoners, Springfield, MO 65807-2240 | 2008-05-27 |
1518150499 | Us Medical Center for Federal Prisoners | Special Hospital | 1900 W Sunshine St, Springfield, MO 65807-2240 | 2007-08-23 |
1750574976 | Ben Glidewell | Pharmacist | 1900 W Sunshine St, Springfield, MO 65807-2240 | 2007-08-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
Find all providers in zip 65807 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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1548507817 | Bahn and Associates | Psychologist | 3000 Professional Dr Ste D, Bahn Consulting, Inc., Springfield, IL 62703-5931 | 2013-01-07 |
1396004990 | Cultivate Psychological Services LLC | Psychologist | 1439 S Rogers Ave, Springfield, MO 65804-1129 | 2012-05-16 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 65807 |
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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.