AMANDA MICHELLE FULMER (NPI# 1558710616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558710616 |
| Entity Type | Individual |
| Full Name | AMANDA MICHELLE FULMER |
| Practice Address |
559 Vincent Street 21 Mdos/sgog-attn: Women's Health Peterson Afb CO 80914-1540 |
| Practice Telephone | 7195560610 |
| Practice Fax Number | 8778131756 |
| Mailing Telephone | 7195560610 |
| Mailing Fax Number | 8778131756 |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2018-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R172250 | MD | Nursing Service Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
0024173165 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952899387 | Amanda Rae Fulmer | Speech-Language Pathologist | 1005 Midwestern Pkwy, Wichita Falls, TX 76302-2211 | 2018-05-01 |
| 1093124612 | Amanda Jean Fulmer | Counselor | 300 Liberty St, Franklin, PA 16323-1053 | 2014-08-07 |
| Street Address |
559 VINCENT STREET 21 MDOS/SGOG-ATTN: WOMEN'S HEALTH |
| City | PETERSON AFB |
| State | CO |
| Zip Code | 80914-1540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891164265 | Michelle Lee Rose | Psychologist | 559 Vincent Street, Attn: 21 Mdos/sgof - Family Practice, Peterson Afb, CO 80914-1540 | 2015-09-16 |
| 1295858884 | Judy M Cole | Psychologist | 559 Vincent Street, Attn: 21 Mdos/sgow - Mental Health, Peterson Afb, CO 80914-1540 | 2007-04-09 |
| 1851430680 | David Brian Chiesa | Dentist | 559 Vincent Street, Attn: 21 Ds/sgd - Dental Clinic, Peterson Afb, CO 80914-1540 | 2007-02-06 |
| 1245329846 | Erin Peterson | Nurse Practitioner | 559 Vincent Street, Attn: 21 Mdos/sgof - Family Practice, Peterson Afb, CO 80914-1540 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356897250 | Kym Littlefield Whitaker | Nurse Practitioner | 110 Ent Avenue, Peterson Afb, CA 80914 | 2016-08-30 |
| 1114322583 | Jessica Charmaine Johnson | Social Worker | 559 Vincent St, Bldg 959, Attn: 21 Omrs/sgow, Peterson Afb, CO 80914 | 2014-10-28 |
| 1306916267 | John Frank Drozd | Psychologist | 21st Medical Group, 559 Vincent Street, Peterson Afb, CO 80914 | 2006-11-08 |
| 1801858865 | Moshe Mark Douglas Wexler | Clinical Neuropsychologist | 110 W. Ent Ave. Bldg 725, 21 Mdos/sgoh, Pafb, CO 80914 | 2006-04-05 |
| 1215902002 | William J Dickson | Dentist | Peterson Afb, Bld 950, Colorado Springs, CO 80914 | 2006-02-23 |
| 1740889773 | Brandon Dean Estes | Dental Hygienist | 1055 Stewart Ave, Bldg 2018, Apo, AA 80914 | 2020-10-21 |
| 1811378607 | Justin Henry Noble | Family Medicine | 559 Vincent St, Colorado Springs, CO 80914 | 2015-06-17 |
| 1225458789 | Brianna Mcmurray | Family Medicine | 559 Vincent St Bldg 959, Colorado Springs, CO 80914 | 2014-04-23 |
| 1720406796 | Beth D Achterhoff | Physical Therapist | 559 Vincent St Bldg 959, Peterson Afb, CO 80914 | 2014-04-07 |
| 1225310162 | Zachary Edward Bishop | Pharmacist | 559 Vincent St, Attn: 21 Mdss/sgsap, Peterson Afb, CO 80914 | 2011-09-16 |
| Find all providers in zip 80914 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528040995 | Sally Magdalen Stark | Nurse Practitioner | 110 W Ent Ave, Peterson Afb, CO 80914-1595 | 2005-11-18 |
| 1871021444 | Danielle Markeeta Sales | Nurse Practitioner | 559 Vincent St Bldg 959, Peterson Afb, CO 80914-1541 | 2017-05-26 |
| 1376516989 | Debra Lynn Arabia | Nurse Practitioner | 559 Vincent St, Attn: 21 Mdos/sgomg-women's Health, Peterson Afb, CO 80914-1540 | 2006-02-13 |
| 1043290323 | Michelle Montgomery | Nurse Practitioner | 559 Vincent St, Family Practice Clinic, Peterson Afb, CO 80914-1540 | 2006-01-20 |
| 1932190998 | Madeline Diane Howell | Nurse Practitioner | 559 Vincent St, Suite 605, Peterson Afb, CO 80914-1540 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634522 | Irene Jaw | Nurse Practitioner | 16087 E Geddes Ln, Aurora, CO 80016-1496 | 2020-09-21 |
| 1124634795 | Carolyn Findlay | Nurse Practitioner | 1126 Quince St, Denver, CO 80220-3107 | 2020-09-19 |
| 1477177533 | Obstetrix Medical Group of Colorado, P.C. | Nurse Practitioner | 90 Health Park Dr Ste 390, Louisville, CO 80027-9742 | 2020-06-04 |
| 1770128092 | Mckenna Bagan | Nurse Practitioner | 4600 Hale Pkwy Ste 400, Denver, CO 80220-4000 | 2019-11-11 |
| 1548810880 | Briana Renae Bell | Nurse Practitioner | 111 11st Unit 102, 772865, Steamboat Springs, CO 80477-2865 | 2019-09-18 |
| 1649823170 | Chelsea Mynyk | Nurse Practitioner | 1951 Charbray Pt, Castle Rock, CO 80108-8439 | 2019-07-23 |
| 1124585914 | Erin Foust | Nurse Practitioner | 12053 Spotted Pony Cir, Fort Collins, CO 80524-8797 | 2019-02-27 |
| 1720544729 | Felicia Diane Milam | Nurse Practitioner | 2226 S Fraser St Unit 3, Aurora, CO 80014-4534 | 2019-02-14 |
| 1518462803 | Erin Sunday, Whnp, LLC | Nurse Practitioner | 518 Sopris Ave, Crested Butte, CO 81224-8122 | 2018-03-28 |
| 1508361320 | Darlene Abramajtis | Nurse Practitioner | 175 W Cheyenne Rd Apt 410, Colorado Springs, CO 80906-2555 | 2018-03-25 |
| Find all providers with the same taxonomy | ||||
| City | PETERSON AFB |
| Zip Code | 80914 |
Please comment or provide details below to improve the information on AMANDA MICHELLE FULMER.
| 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.