KIMBERLY SUSAN STULTZ
NPI 1497419691
Peer Specialist in Anchorage, AK

Q: What is Kimberly Stultz's NPI number?

The NPI number for Kimberly Stultz is 1497419691. It was assigned to this individual provider in the NPPES registry on October 25, 2021.

Q: What is Kimberly Stultz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Stultz was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 25, 2021

3600 SAN JERONIMO DR STE 201, ANCHORAGE, AK 99508(907) 793-3200(907) 793-3250 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kimberly Susan Stultz NPPES

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

KIMBERLY SUSAN STULTZ (NPI 1497419691) is an individual peer specialist in Anchorage, Alaska and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1497419691

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameKIMBERLY SUSAN STULTZ

Location Address3600 SAN JERONIMO DR STE 201Anchorage, AK 99508-2870

Mailing Address3600 San Jeronimo Dr Ste 201Anchorage, AK 99508-2870 · (907) 793-3200 · Fax (907) 793-3250

Phone(907) 793-3200

Fax(907) 793-3250

Sole ProprietorNo

Enumeration DateOctober 25, 2021

NPPES CertifiedOctober 5, 2021

✔ NPI 1497419691 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.

3600 SAN JERONIMO DR STE 201, Anchorage, AK 99508

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Other Providers at the Same Location NPPES

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

KELLI LYNNE HYDEN CDC I

Counselor (Addiction (Substance Use Disorder))

3600 SAN JERONIMO DR STE 201
ANCHORAGE, AK 99508

Anchorage Municipality (907) 793-3200

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 Kimberly Stultz's NPI number?

The NPI number for Kimberly Stultz is 1497419691. It was assigned to this individual provider in the NPPES registry on October 25, 2021.

Where is Kimberly Stultz located?

Kimberly Stultz practices at 3600 San Jeronimo Dr Ste 201, Anchorage, AK 99508. The listed phone number is (907) 793-3200.

What is Kimberly Stultz'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 Kimberly Stultz was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.