MS. CAROLYN STARR FULLMER PAC
NPI 1275686669
Physician Assistant in Chewelah, WA

Active since January 19, 2007
410 E KING ST, CHEWELAH, WA 99109(509) 935-8711(509) 935-4882 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Carolyn Starr Fullmer Pac NPPES

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

MS. CAROLYN STARR FULLMER PAC (NPI 1275686669) is an individual physician assistant in Chewelah, Washington, licensed in Washington (PA10003285) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1275686669
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. CAROLYN STARR FULLMERCredential: PAC
Location Address410 E KING STChewelah, WA 99109-0137
Mailing AddressPo Box 137Chewelah, WA 99109-0137 · (509) 935-8711 · Fax (509) 935-4882
Fax(509) 935-4882
Sole ProprietorNo
Enumeration DateJanuary 19, 2007
Last NPPES UpdateJune 18, 2008
NPI 1275686669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WA · PA10003285
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
410 E KING ST, Chewelah, WA 99109

Other Identifiers 5

Medicare UPINS33657WA
Medicare PINAB25725WA
OtherPA10003285WA · Wa State License
Medicaid8511230WA
Other0159376WA · Wa State L&i

Other Providers at the Same Location NPPES 6

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

Family Medicine
410 E KING ST
CHEWELAH, WA 99109
Family Medicine
410 E KING ST
CHEWELAH, WA 99109
Family Medicine
410 E KING ST
CHEWELAH, WA 99109
Family Medicine
410 E KING ST
CHEWELAH, WA 99109
Family Medicine
410 E KING ST
CHEWELAH, WA 99109
Family Medicine
410 E KING ST
CHEWELAH, WA 99109

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 Carolyn Fullmer's NPI number?

The NPI number for Carolyn Fullmer is 1275686669. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Carolyn Fullmer located?

Carolyn Fullmer practices at 410 E King St, Chewelah, WA 99109. The listed phone number is (509) 935-8711.

What is Carolyn Fullmer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Carolyn Fullmer was last updated on June 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.