HALEY RENEE FULKERSON RD
NPI 1821281163
Dietitian, Registered in Leitchfield, KY

Q: What is Haley Fulkerson's NPI number?

The NPI number for Haley Fulkerson is 1821281163. It was assigned to this individual provider in the NPPES registry on August 21, 2007.

Q: What is Haley Fulkerson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Haley Fulkerson was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since August 21, 2007

912 WALLACE AVE STE 102, LEITCHFIELD, KY 42754(270) 259-8888 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 11, 2024, Dec 6, 2023 (2 updates tracked since 2023).

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About Haley Renee Fulkerson Rd NPPES

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

HALEY RENEE FULKERSON RD (NPI 1821281163) is an individual dietitian, registered in Leitchfield, Kentucky, licensed in Kentucky (123904) and active in the NPI registry since August 2007. She maintains 5 additional practice locations.

NPPES Registry Identity

NPI1821281163

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameHALEY RENEE FULKERSONCredential: RD

Location Address912 WALLACE AVE STE 102Leitchfield, KY 42754-2405

Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 559-9407 · Fax (502) 272-5339

Phone(270) 259-8888

Sole ProprietorNo

Enumeration DateAugust 21, 2007

Last NPPES UpdateDecember 11, 20242 updates tracked since enumeration

NPPES CertifiedDecember 11, 2024

✔ NPI 1821281163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in KY · 123904

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

912 WALLACE AVE STE 102, Leitchfield, KY 42754

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Secondary Practice Locations 5

Location 1811 E Parrish Ave Ste 102Owensboro, KY 42303-3258 · Phone (270) 688-2077 · Fax (270) 688-2078

Location 22025 W Everly Brothers Blvd Ste 2APowderly, KY 42367-5401 · Phone (270) 377-2626 · Fax (270) 377-2777

Location 3411 E Chestnut St # 5A6BLouisville, KY 40202-1713 · Phone (502) 588-9490 · Fax (502) 588-7712

Location 42025 W Everly Brothers Blvd Ste 1APowderly, KY 42367-5401 · Phone (270) 377-2600

Location 51213 N Main StBeaver Dam, KY 42320-8955 · Phone (270) 274-4771 · Fax (270) 274-4884

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 5

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

PRIYANK CHAUHAN MD

Internal Medicine (Geriatric Medicine)