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CAROL A STULTS NP
NPI 1205115649
Nurse Practitioner - Primary Care in Fort Wayne, IN

Active since August 16, 2011
5649 COVENTRY LN, FORT WAYNE, IN 46804(260) 436-6565(260) 459-1130 Get Directions Write a Review

NPPES record last updated: August 6, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carol A Stults Np NPPES

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

CAROL A STULTS NP (NPI 1205115649) is an individual primary care provider in Fort Wayne, Indiana, licensed in Indiana (28072562A) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1205115649
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameCAROL A STULTSCredential: NP
Location Address5649 COVENTRY LNFort Wayne, IN 46804-7145
Mailing Address5649 Coventry LnFort Wayne, IN 46804-7145 · (260) 436-6565 · Fax (260) 459-1130
Phone(260) 436-6565
Fax(260) 459-1130
Sole ProprietorNo
Enumeration DateAugust 16, 2011
Last NPPES UpdateAugust 6, 2012
✔ NPI 1205115649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in IN · 28072562A
5649 COVENTRY LN, Fort Wayne, IN 46804
Open in Google Maps ↗

Other Names 1

Former Name (1)Carol A Springer

Other Identifiers 2

Medicaid201039990IN
Medicare PINM400058450IN

Other Providers at the Same Location NPPES 5

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

ABOITE HEALTH CENTER, INC.
General Practice
5649 COVENTRY LN
FORT WAYNE, IN 46804
Allen County (260) 436-6565
LYONS CHIROPRACTIC CLINIC
Chiropractor
5649 COVENTRY LN
FORT WAYNE, IN 46804
Allen County (260) 436-6565
RODNEY MATTHEW WEST
Chiropractor
5649 COVENTRY LN
FORT WAYNE, IN 46804
Allen County (574) 527-5281
NANCY VADEN GARDNER NP-C
Nurse Practitioner
5649 COVENTRY LN
FORT WAYNE, IN 46804
Allen County (260) 436-6565
PERRY LYNN LYONS D.C.
Chiropractor
5649 COVENTRY LN
FORT WAYNE, IN 46804
Allen County (260) 436-6565

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 Carol Stults's NPI number?

The NPI number for Carol Stults is 1205115649. It was assigned to this individual provider in the NPPES registry on August 16, 2011. The provider is also known as Carol A Springer.

Where is Carol Stults located?

Carol Stults practices at 5649 Coventry Ln, Fort Wayne, IN 46804. The listed phone number is (260) 436-6565.

What is Carol Stults's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Carol Stults was last updated on August 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.