Active NPI
Emily Collins Kulze, PA-C
- Physician Assistant
- Washington, DC
National Provider Identifier
1073021697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2854
- Practice address
- 5215 Loughboro Rd NW Ste 200
Washington, DC 20016-2625 - Phone
- (301) 657-1996
- NPI assigned
- Jan 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2854 | SC | |
| Orthopaedic Surgery Physician | 207X00000X | 2854 | SC | |
| Physician Assistant | 363A00000X | 2854 | SC | Primary |
Addresses
Primary practice location
5215 Loughboro Rd NW Ste 200
Washington, DC 20016-2625
Mailing address
5215 Loughboro Rd NW Ste 200
Washington, DC 20016-2625
Phone (301) 657-1996
Other practice location 1
171 Ashley Ave
Charleston, SC 29425-8900
Phone (843) 792-2496
Other practice location 2
96 Jonathan Lucas St
Charleston, SC 29425-8900
Phone (843) 792-2496
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1073021697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5215 LOUGHBORO RD NW STE 200",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200162625",
"telephone_number": "301-657-1996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5215 LOUGHBORO RD NW STE 200",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200162625",
"telephone_number": "301-657-1996"
}
],
"practiceLocations": [
{
"address_1": "171 Ashley Ave",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294258900",
"country_code": "US",
"telephone_number": "843-792-2496",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "96 Jonathan Lucas St",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294258900",
"country_code": "US",
"telephone_number": "843-792-2496",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KULZE",
"first_name": "EMILY",
"middle_name": "COLLINS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-17",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "2854",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "SC",
"license": "2854",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "2854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.