TARA C FULK
NPI 1427047026
Specialist in Bridgewater, VA

Active since October 17, 2005
112 N RIVER RD, BRIDGEWATER, VA 22812(540) 828-6443(540) 828-6583 Get Directions Write a Review

NPPES record last updated: October 31, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Tara C Fulk NPPES

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

TARA C FULK (NPI 1427047026) is an individual specialist in Bridgewater, Virginia, licensed in Virginia (2305202825) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1427047026
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameTARA C FULK
Location Address112 N RIVER RDBridgewater, VA 22812-1611
Mailing Address112 N River RdBridgewater, VA 22812-1611 · (540) 828-6443 · Fax (540) 828-6583
Fax(540) 828-6583
Sole ProprietorNo
Enumeration DateOctober 17, 2005
Last NPPES UpdateOctober 31, 2007
✔ NPI 1427047026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in VA · 2305202825
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
112 N RIVER RD, Bridgewater, VA 22812

Other Identifiers 2

Other194031VA · Anthem Provider Number
Medicare PINC05976VA

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 Tara Fulk's NPI number?

The NPI number for Tara Fulk is 1427047026. It was assigned to this individual provider in the NPPES registry on October 17, 2005.

Where is Tara Fulk located?

Tara Fulk practices at 112 N River Rd, Bridgewater, VA 22812. The listed phone number is (540) 828-6443.

What is Tara Fulk's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Tara Fulk was last updated on October 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.