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TY FULLINGIM
NPI 1922899871
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Active since May 12, 2025
1111 W 17TH ST, TULSA, OK 74107(918) 561-8324 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ty Fullingim NPPES

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

TY FULLINGIM (NPI 1922899871) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1922899871
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTY FULLINGIM
Location Address1111 W 17TH STTulsa, OK 74107-1886
Mailing Address2224 Avian WayOklahoma City, OK 73170-3416
Phone(918) 561-8324
Sole ProprietorYes
Enumeration DateMay 12, 2025
NPPES CertifiedMay 12, 2025
✔ NPI 1922899871 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.
1111 W 17TH ST, Tulsa, OK 74107
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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.

GRAHAM NATHAN JAMEISON MAT, ATC
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 237-2828
MARIYA BOBEN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
KARLYN TANZEY
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
KAYLEY ANTHAMATTEN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
CHASE YAGER
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (405) 613-1540
MACKENZIE LYNN HATTABAUGH
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
ASHLEE EASTMAN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 805-1752
DAVID ROBERT WAXMAN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972

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 Ty Fullingim's NPI number?

The NPI number for Ty Fullingim is 1922899871. It was assigned to this individual provider in the NPPES registry on May 12, 2025.

Where is Ty Fullingim located?

Ty Fullingim practices at 1111 W 17th St, Tulsa, OK 74107. The listed phone number is (918) 561-8324.

What is Ty Fullingim's specialty?

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

When was this NPI record last updated?

The NPPES record for Ty Fullingim was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.