ANNETTE FULTZ CADC
NPI 1497154660
Counselor - Addiction (Substance Use Disorder) in Idaho Falls, ID

Active since August 13, 2014
2275 W BROADWAY ST, IDAHO FALLS, ID 83402(208) 524-7400 Get Directions Write a Review

NPPES record last updated: August 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Annette Fultz Cadc NPPES

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

ANNETTE FULTZ CADC (NPI 1497154660) is an individual addiction (substance use disorder) provider in Idaho Falls, Idaho, licensed in Idaho (10156-818) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1497154660
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameANNETTE FULTZCredential: CADC
Location Address2275 W BROADWAY STIdaho Falls, ID 83402-2902
Mailing Address2275 W Broadway StIdaho Falls, ID 83402-2902
Sole ProprietorYes
Enumeration DateAugust 13, 2014
NPI 1497154660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in ID · 10156-818
2275 W BROADWAY ST, Idaho Falls, ID 83402

Other Providers at the Same Location NPPES 9

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

Counselor
2275 W BROADWAY ST, STE. G
IDAHO FALLS, ID 83402
Social Worker
2275 W BROADWAY ST, STE G
IDAHO FALLS, ID 83402
Social Worker
2275 W BROADWAY ST
IDAHO FALLS, ID 83402
Social Worker (Clinical)
2275 W BROADWAY ST, SUITE G
IDAHO FALLS, ID 83402
Nurse Practitioner (Adult Health)
2275 W BROADWAY ST, SUITE G
IDAHO FALLS, ID 83402
Social Worker
2275 W BROADWAY ST
IDAHO FALLS, ID 83402
Social Worker
2275 W BROADWAY ST
IDAHO FALLS, ID 83402
Counselor (Professional)
2275 W BROADWAY ST, SUITE C
IDAHO FALLS, ID 83402

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 Annette Fultz's NPI number?

The NPI number for Annette Fultz is 1497154660. It was assigned to this individual provider in the NPPES registry on August 13, 2014.

Where is Annette Fultz located?

Annette Fultz practices at 2275 W Broadway St, Idaho Falls, ID 83402. The listed phone number is (208) 524-7400.

What is Annette Fultz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Annette Fultz was last updated on August 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.