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NONA FULK, M.D., S.C.
NPI 1063745883
Obstetrics & Gynecology in Normal, IL

Active since September 11, 2009CLIA 14D2019062 · Microscopy
1300 FRANKLIN AVE STE 330, NORMAL, IL 61761(309) 808-0940 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nona Fulk, M.d., S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NONA FULK, M.D., S.C. (NPI 1063745883) is a healthcare organization registered as an obstetrics & gynecology in Normal, Illinois and active in the NPI registry since September 2009. The organization holds a CLIA Microscopy certificate valid through January 20, 2027 and lists Nona P Fulk, President, as its authorized official.

NPPES Registry Identity

NPI1063745883
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameNONA FULK, M.D., S.C.
Location Address1300 FRANKLIN AVE STE 330Normal, IL 61761-4204
Mailing Address1300 Franklin Ave Ste 330Normal, IL 61761-4204 · (309) 808-0940 · Fax (309) 808-0799
Phone(309) 808-0940
Organization SubpartNo
Authorized OfficialNona P FulkPresident · (309) 826-2966
Enumeration DateSeptember 11, 2009
Last NPPES UpdateFebruary 28, 2024
NPPES CertifiedFebruary 28, 2024
✔ NPI 1063745883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 36-096101
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1300 FRANKLIN AVE STE 330, Normal, IL 61761
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2019062

Nona Fulk MD Sc · Normal, IL
Active · expires Jan 20, 2027
CLIA Number14D2019062
Laboratory TypePhysician Office
Certificate Effective DateJanuary 21, 2025
Certificate Expiration DateJanuary 20, 2027
Laboratory DirectorNona Fulk MD
Laboratory Phone(309) 808-0940
Laboratory LocationNona Fulk MD Sc1300 Franklin Ave #330, Normal, IL 61761
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAYDEE BROWN
Nurse Practitioner (Obstetrics & Gynecology)
1300 FRANKLIN AVE STE 330
NORMAL, IL 61761
McLean County (309) 808-0940

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nona Fulk, M.D., S.C.'s NPI number?

The NPI number for Nona Fulk, M.D., S.C. is 1063745883. It was assigned to this organization in the NPPES registry on September 11, 2009.

Where is Nona Fulk, M.D., S.C. located?

Nona Fulk, M.D., S.C. is located at 1300 Franklin Ave Ste 330, Normal, IL 61761. The listed phone number is (309) 808-0940.

What is Nona Fulk, M.D., S.C.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Nona Fulk, M.D., S.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D2019062) is associated with this NPI, valid through January 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nona Fulk, M.D., S.C. was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.