1. Home
  2. Directory
  3. Missouri
  4. Ellington
  5. Peer Specialist
  6. NPI Profile

SCOTT LEE FULKERSON
NPI 1477446748
Peer Specialist in Ellington, MO

Active since June 03, 2025
315 E WALNUT ST, ELLINGTON, MO 63638(573) 663-2644 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Scott Lee Fulkerson NPPES

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

SCOTT LEE FULKERSON (NPI 1477446748) is an individual peer specialist in Ellington, Missouri and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1477446748
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameSCOTT LEE FULKERSON
Location Address315 E WALNUT STEllington, MO 63638-7943
Mailing Address315 E Walnut StEllington, MO 63638-7943
Phone(573) 663-2644
Sole ProprietorNo
Enumeration DateJune 3, 2025
NPPES CertifiedJune 3, 2025
✔ NPI 1477446748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
315 E WALNUT ST, Ellington, MO 63638
Open in Google Maps ↗

Other Providers at the Same Location NPPES 17

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

MADISON BRAWLEY MS, NCC,LPC
Counselor (Professional)
315 E WALNUT ST
ELLINGTON, MO 63638
Reynolds County (573) 663-2644
KRISTI LYN MARTIN
Behavior Technician
315 E WALNUT ST
ELLINGTON, MO 63638
Reynolds County (573) 663-2644
KELSI LEAH ANN VICKERS
Behavior Technician
315 E WALNUT ST
ELLINGTON, MO 63638
Reynolds County (573) 663-2644
MEGAN S DRAKE
Behavior Technician
315 E WALNUT ST
ELLINGTON, MO 63638
Reynolds County (573) 663-2644
EVELYN D WALBERG
Emergency Medical Technician, Basic
315 E WALNUT ST
ELLINGTON, MO 63638
Reynolds County (573) 663-2644
LORI CAMPBELL
Behavior Technician
315 E WALNUT ST
ELLINGTON, MO 63638
Reynolds County (573) 663-2644
SHELBY NICOLE OHRENBERG
Behavior Technician
315 E WALNUT ST
ELLINGTON, MO 63638
Reynolds County (573) 663-2644
DEELANEY RAE-ANN CROCKER
Behavior Technician
315 E WALNUT ST
ELLINGTON, MO 63638
Reynolds County (573) 663-2644

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 Scott Fulkerson's NPI number?

The NPI number for Scott Fulkerson is 1477446748. It was assigned to this individual provider in the NPPES registry on June 3, 2025.

Where is Scott Fulkerson located?

Scott Fulkerson practices at 315 E Walnut St, Ellington, MO 63638. The listed phone number is (573) 663-2644.

What is Scott Fulkerson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Scott Fulkerson was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.