MICHAEL FULKS (NPI# 1467861658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467861658 |
| Entity Type | Individual |
| Full Name | MICHAEL FULKS |
| Credential | LAT, ATC |
| Practice Address |
6510 Hinson St Las Vegas NV 89118-4413 |
| Mailing Address |
7340 Red Cinder St Las Vegas NV 89131-3320 |
| Practice Telephone | 7024997237 |
| Mailing Telephone | 7024997237 |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0506322 | NV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407977630 | Michael Fulks | Internal Medicine | M352 Mass Mutual, 1295 State Street, Springfield, MA 01111-0001 | 2007-04-03 |
| Street Address |
6510 HINSON ST |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89118-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982824165 | Jennifer Ann Torgerson | Specialist/Technologist | 6510 Hinson St, Las Vegas, NV 89118-4413 | 2007-04-27 |
| 1336658384 | Amie-gayle G Miran | Specialist/Technologist | 6510 Hinson St, Las Vegas, NV 89118-4413 | 2017-09-21 |
| 1508302290 | Laura Harp | Specialist/Technologist | 6510 Hinson St, Las Vegas, NV 89118-4413 | 2017-01-18 |
| 1972049781 | Mckendrie Hansen | Specialist/Technologist | 6510 Hinson St, Las Vegas, NV 89118-4413 | 2017-01-18 |
| 1063954865 | Benjamin Hirabayashi | Specialist/Technologist | 6510 Hinson St, Las Vegas, NV 89118-4413 | 2016-11-09 |
| 1336699966 | Lauren Dickey | Specialist/Technologist | 6510 Hinson St, Las Vegas, NV 89118-4413 | 2016-10-06 |
| 1134672553 | Aaron Storey | Specialist/Technologist | 6510 Hinson St, Las Vegas, NV 89118-4413 | 2016-08-02 |
| 1063818458 | Kyle Pigao | Specialist/Technologist | 6510 Hinson St, Las Vegas, NV 89118-4413 | 2014-11-12 |
| 1629477781 | Kyle Foster | Specialist/Technologist | 6510 Hinson St, Las Vegas, NV 89118-4413 | 2014-08-14 |
| 1356663710 | Ginger Lei Salera Ehke | Specialist/Technologist | 6510 Hinson St, Las Vegas, NV 89118-4413 | 2010-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720568520 | Kurt Yaross | Behavioral Analyst | 7138 W Post Rd, #208, Las Vegas, NV 89118 | 2018-08-21 |
| 1619457108 | Michelle Herzberg | Behavioral Analyst | 7318 W Post Rd #280, Las Vegas, NV 89118 | 2018-08-15 |
| 1548749385 | Keisha Bere-ruiz | Behavioral Analyst | 7318 W Post Rd #208, Las Vegas, NV 89118 | 2018-08-13 |
| 1295222081 | Aliantcare | Radiologic Technologist | 5490 S Rainbow Blvd, Suite 400 N34835, Las Vegas, NV 89118 | 2018-04-17 |
| 1710406467 | Anoush H. Tacvorian Do LLC | Clinic/Center | 6525 W. Warm Springs Rd, Suite 100, Las Vegas, NV 89118 | 2017-09-13 |
| 1962920470 | Harvard Medtech, LLC | Durable Medical Equipment & Medical Supplies | 6280 S. Valley View Blvd, Suite 412, Las Vegas, NV 89118 | 2017-09-05 |
| 1750827903 | Kerry Cutler | Nurse Practitioner | 6020 South Rainbow Blvd, Suite C, Las Vegas, NV 89118 | 2017-01-12 |
| 1184173015 | Girisgen & Kopolow Od PC | Optometrist | 7090 S Rainbow Blvd, Ste 100, Las Veegas, NV 89118 | 2016-10-04 |
| 1396117859 | Foundation for Positively Kids | Clinic/Center | 3555 E Reno, Ste F, Las Vegas, NV 89118 | 2015-10-23 |
| 1720492663 | Kiet Michael Lam | Chiropractor | 5693 S. Jones Bvld, Ste 116, Las Vegas, NV 89118 | 2014-06-18 |
| Find all providers in zip 89118 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
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| 1467065987 | Tiffany Mirie Chang | Specialist/Technologist | 4280 Tyndall Ave, Las Vegas, NV 89191-6056 | 2020-08-25 |
| 1023628575 | Jeremy Fred Rice | Specialist/Technologist | 8308 Daventry St, Las Vegas, NV 89123-2332 | 2020-08-07 |
| 1184233108 | Kira Felise | Specialist/Technologist | 7701 W Robindale Rd Unit 131, Las Vegas, NV 89113-4044 | 2020-07-27 |
| 1063020535 | Yuka Shimada | Specialist/Technologist | 98 E Windmill Ln, Las Vegas, NV 89123-1723 | 2020-07-21 |
| 1215545918 | Keigo Ito | Specialist/Technologist | 2670 S Decatur Blvd Apt 4104, Las Vegas, NV 89102-8576 | 2020-07-19 |
| 1093335978 | Michael Blaise Lowe | Specialist/Technologist | 10000 S Maryland Pkwy Apt 1085, Las Vegas, NV 89183-6386 | 2020-04-21 |
| 1841826864 | Abigail Santek | Specialist/Technologist | 6775 Edmond St Ste 300, Las Vegas, NV 89118-3502 | 2020-03-21 |
| 1386270619 | Shawna Lynn Bryant | Specialist/Technologist | 9880 W Flamingo Rd # 260, Las Vegas, NV 89147-8085 | 2020-03-18 |
| 1578198511 | Alicia Loh | Specialist/Technologist | 1400 Ibizo St, Las Vegas, NV 89117-7511 | 2020-03-10 |
| Find all providers in LAS VEGAS | ||||
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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.