KAITLYN BURRICHTER FULFORD
NPI 1194221044
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since March 31, 2018PECOS Enrolled
1 CHILDRENS WAY # 512-19A, LITTLE ROCK, AR 72202(501) 364-1874 Get Directions Write a Review

NPPES record last updated: March 31, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kaitlyn Burrichter Fulford NPPES

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

KAITLYN BURRICHTER FULFORD (NPI 1194221044) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194221044
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKAITLYN BURRICHTER FULFORD
Location Address1 CHILDRENS WAY # 512-19ALittle Rock, AR 72202-3500
Mailing Address1507 Linden Ave Apt 19Johnson City, TN 37601-7379 · (615) 598-4768
Sole ProprietorYes
Enumeration DateMarch 31, 2018
NPI 1194221044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1 CHILDRENS WAY # 512-19A, Little Rock, AR 72202

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kaitlyn Burrichter Fulford is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
1 CHILDRENS WAY # 512-19A
LITTLE ROCK, AR 72202
Student in an Organized Health Care Education/Training Program
1 CHILDRENS WAY # 512-19A
LITTLE ROCK, AR 72202
Student in an Organized Health Care Education/Training Program
1 CHILDRENS WAY # 512-19A
LITTLE ROCK, AR 72202
Student in an Organized Health Care Education/Training Program
1 CHILDRENS WAY # 512-19A
LITTLE ROCK, AR 72202
Student in an Organized Health Care Education/Training Program
1 CHILDRENS WAY # 512-19A
LITTLE ROCK, AR 72202
Student in an Organized Health Care Education/Training Program
1 CHILDRENS WAY # 512-19A
LITTLE ROCK, AR 72202
Student in an Organized Health Care Education/Training Program
1 CHILDRENS WAY # 512-19A
LITTLE ROCK, AR 72202
Student in an Organized Health Care Education/Training Program
1 CHILDRENS WAY # 512-19A
LITTLE ROCK, AR 72202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194221044, enumerated as an "individual" on March 31, 2018.

The provider is located at 1 CHILDRENS WAY # 512-19A LITTLE ROCK, AR 72202 and the phone number is (501) 364-1874.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.