Karen Lynn Fulkerson, COTA L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

2907 Williamson County Parkway
Marion, IL 62959

Phone

(618) 998-9894

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083787378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 N TEXAS ST",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "62946",
            "telephone_number": "618-253-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 WILLIAMSON COUNTY PARKWAY",
            "city": "MARION",
            "state": "IL",
            "postal_code": "62959",
            "telephone_number": "618-998-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULKERSON",
        "first_name": "KAREN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "COTA L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Ann Freeman
• Wendy Lynn Freeman, PTA
• Miles Freeman Edward French, MD
• Nicholas Frey
• Emily Frost, LMT
• Brittany Funk, COTA
• Nicole Gaither, MSW. LSW
• Aileen Marie Galan, M.D.
• Max Stephen Galt, D.C.
• Hannah Garascia, AAS

• Occupational Therapy Assistant in Marion, IL
• Providers in Marion, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.