1. Home
  2. Directory
  3. Tennessee
  4. Memphis
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

DANIEL E FULKERSON
NPI 1700681368
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since February 18, 2025PECOS Enrolled
1211 UNION AVE STE 520, MEMPHIS, TN 38104(317) 645-7429 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2026, Feb 18, 2025 (2 updates tracked since 2025).

About Daniel E Fulkerson NPPES

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

DANIEL E FULKERSON (NPI 1700681368) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700681368
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDANIEL E FULKERSON
Location Address1211 UNION AVE STE 520Memphis, TN 38104-6656
Mailing Address660 S Euclid AveSaint Louis, MO 63110-1010
Phone(317) 645-7429
Sole ProprietorNo
Enumeration DateFebruary 18, 2025
Last NPPES UpdateMay 11, 20262 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1700681368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1211 UNION AVE STE 520, Memphis, TN 38104
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel E Fulkerson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

DYLAN SCHUYLER KOOLMEES MD
Student in an Organized Health Care Education/Training Program
1211 UNION AVE STE 520
MEMPHIS, TN 38104
Shelby County (901) 759-3275

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 Daniel Fulkerson's NPI number?

The NPI number for Daniel Fulkerson is 1700681368. It was assigned to this individual provider in the NPPES registry on February 18, 2025.

Where is Daniel Fulkerson located?

Daniel Fulkerson practices at 1211 Union Ave Ste 520, Memphis, TN 38104. The listed phone number is (317) 645-7429.

What is Daniel Fulkerson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Daniel Fulkerson enrolled in Medicare?

Yes. Daniel Fulkerson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daniel Fulkerson was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.