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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: August 09, 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
Phone(501) 364-1874
Sole ProprietorYes
Enumeration DateMarch 31, 2018
✔ NPI 1194221044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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
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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.

MR. JONATHAN L ASKINS JR. MD
Student in an Organized Health Care Education/Training Program
1 CHILDRENS WAY # 512-19A
LITTLE ROCK, AR 72202
Pulaski County (501) 364-5155
MYIA DICKERSON DO
Student in an Organized Health Care Education/Training Program
1 CHILDRENS WAY # 512-19A
LITTLE ROCK, AR 72202
Pulaski County (501) 364-5115
JENNIFER BRITO WARNER MD
Student in an Organized Health Care Education/Training Program
1 CHILDRENS WAY # 512-19A
LITTLE ROCK, AR 72202
Pulaski County (479) 364-5115
DR. LESLIE HELENE ST. PIERRE MD
Student in an Organized Health Care Education/Training Program
1 CHILDRENS WAY # 512-19A
LITTLE ROCK, AR 72202
Pulaski County (501) 364-5115
MAKENZIE LAINE NIVEN MD
Student in an Organized Health Care Education/Training Program
1 CHILDRENS WAY # 512-19A
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1874
DR. HAMSINI MOVVA MBBS
Student in an Organized Health Care Education/Training Program
1 CHILDRENS WAY # 512-19A
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1874
DR. TIMOTHY EDWARD NISSEN DO
Pediatrics (Pediatric Cardiology)
1 CHILDRENS WAY # 512-19A
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1874
MOIRA ELAINE MOORE MD, MPH
Student in an Organized Health Care Education/Training Program
1 CHILDRENS WAY # 512-19A
LITTLE ROCK, AR 72202
Pulaski County (501) 364-5115

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 Kaitlyn Fulford's NPI number?

The NPI number for Kaitlyn Fulford is 1194221044. It was assigned to this individual provider in the NPPES registry on March 31, 2018.

Where is Kaitlyn Fulford located?

Kaitlyn Fulford practices at 1 Childrens Way # 512-19a, Little Rock, AR 72202. The listed phone number is (501) 364-1874.

What is Kaitlyn Fulford's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kaitlyn Fulford enrolled in Medicare?

Yes. Kaitlyn Fulford is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaitlyn Fulford was last updated on March 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.