1. Home
  2. Directory
  3. Indiana
  4. Mishawaka
  5. Clinic Center
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DELANEY FULLENKAMP
NPI 1619697133
Clinic/Center - Multi-Specialty in Mishawaka, IN

Active since September 02, 2022
1316 W DRAGOON TRL, MISHAWAKA, IN 46544(219) 608-2190 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2026, Sep 2, 2022 (2 updates tracked since 2022).

About Delaney Fullenkamp NPPES

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

DELANEY FULLENKAMP (NPI 1619697133) is an individual multi-specialty provider in Mishawaka, Indiana, licensed in Indiana (521984) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1619697133
Entity TypeIndividualFemale
Primary Taxonomy261QM1300X
Provider Legal NameDELANEY FULLENKAMP
Location Address1316 W DRAGOON TRLMishawaka, IN 46544-4713
Mailing Address235 Ironworks Ave Apt 447Mishawaka, IN 46544-2076 · (219) 608-2190
Phone(219) 608-2190
Sole ProprietorYes
Enumeration DateSeptember 2, 2022
Last NPPES UpdateJuly 28, 20262 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1619697133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in IN · 521984
1316 W DRAGOON TRL, Mishawaka, IN 46544
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

JESSICA STONE
Behavior Technician
1316 W DRAGOON TRL
MISHAWAKA, IN 46544
St. Joseph County (574) 855-4272
DAKOTA LEIGH MCCLELLAND
Behavior Technician
1316 W DRAGOON TRL
MISHAWAKA, IN 46544
St. Joseph County (574) 855-4292
SPENCER JERON JOHNSON II
Behavior Technician
1316 W DRAGOON TRL
MISHAWAKA, IN 46544
St. Joseph County (574) 855-4292
SHELBY ANN BRYANT
Behavior Technician
1316 W DRAGOON TRL
MISHAWAKA, IN 46544
St. Joseph County (574) 855-4292
MAKENZIE ELAINE RUSZKOWSKI
Behavior Technician
1316 W DRAGOON TRL
MISHAWAKA, IN 46544
St. Joseph County (574) 855-4292
ARIANNA ROCKWELL
Behavior Technician
1316 W DRAGOON TRL
MISHAWAKA, IN 46544
St. Joseph County (574) 855-4292
MYA LEMAE BRUSDAHL
Behavior Technician
1316 W DRAGOON TRL
MISHAWAKA, IN 46544
St. Joseph County (574) 855-4292
JULIAN ANGEL LEBRON
Behavior Technician
1316 W DRAGOON TRL
MISHAWAKA, IN 46544
St. Joseph County (312) 477-6808

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 Delaney Fullenkamp's NPI number?

The NPI number for Delaney Fullenkamp is 1619697133. It was assigned to this individual provider in the NPPES registry on September 2, 2022.

Where is Delaney Fullenkamp located?

Delaney Fullenkamp practices at 1316 W Dragoon Trl, Mishawaka, IN 46544. The listed phone number is (219) 608-2190.

What is Delaney Fullenkamp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Delaney Fullenkamp was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.