Kristen Fulcher, MPH, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L006612 Issued in NC

Practice address

4024 Stirrup Creek Dr
Durham, NC 27703-9464

Phone

(919) 908-9730

NPI assigned

Dec 18, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Duke Health Integrated Practice, Inc.

  • General Practice Physician
  • Durham, NC
  • NPI 1205553369
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639785600000",
    "number": "1083374078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13289",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277093289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 STIRRUP CREEK DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277039464",
            "telephone_number": "919-908-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULCHER",
        "first_name": "KRISTEN",
        "credential": "MPH, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-18",
        "last_updated": "2021-12-18",
        "certification_date": "2021-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L006612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Fu, PHARM.D., R.PH.
• Tommy Fu, M.D.
• Herbert Fuchs, M.D.
• Marat Fudim, M.D.
• Andres Eduardo Fuenmayor Mago, MD
• David William Fulford, PA-C
• D'Ericka L Fulgham-Artis
• Conrad Carnes Fulkerson, M.D.
• Katherine Cynthia Fulkerson, PHD
• William Fulkerson, M.D.

• Registered Dietitian in Durham, NC
• Providers in Durham, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.