Individual provider Active NPI

Cindy Kay Fulton

  • Advanced Practice Midwife
  • Clarkston, MI
National Provider Identifier
1114623733
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
4704225042 Issued in MI
Practice address
7013 Oakhurst Ridge Rd
Clarkston, MI 48348-5074
Phone
(989) 670-9510
NPI assigned
Feb 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 4704225042 MI
Advanced Practice Midwife 367A00000X 4704225042 MI Primary

Addresses

Primary practice location

7013 Oakhurst Ridge Rd
Clarkston, MI 48348-5074

Mailing address

7013 Oakhurst Ridge Rd
Clarkston, MI 48348-5074
Phone (989) 670-9510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231024001206 MI Practitioner - Certified Nurse Midwife (CNM) 4789030040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren FlintGroup PAC ID 8628975497, 144 clinicians

Practice addresses (Care Compare)

1314 S Linden Rd Abc
McLaren Flint Community Medical Center
Flint, MI 48532-3456
Phone (810) 342-1700

Hospital & facility affiliations

  • McLaren Flint Hospital, Flint, MI, CCN 230141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
4704225042MIMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Flint Current Accepting new patients
McLaren Flint CurrentSince Dec 1, 2023 Accepting new patients
McLaren Flint Advanced Practice Midwife CurrentSince Dec 1, 2023 Accepting new patients
McLaren Flint Past Accepting new patients
McLaren Flint Past Accepting new patients

Locations

2420 Owen Rd
Ste A
Fenton, MI 48430
Phone (810) 496-2460

1314 S Linden Rd
Flint, MI 48532
Phone (810) 342-1700

1314 S Linden Rd
Ste A
Flint, MI 48532
Phone (810) 342-1700

1314 S Linden Rd
Ste Abc
Flint, MI 48532
Phone (810) 342-1700

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1114623733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7013 OAKHURST RIDGE RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483485074",
            "telephone_number": "989-670-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7013 OAKHURST RIDGE RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483485074",
            "telephone_number": "989-670-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "CINDY",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MI",
            "license": "4704225042",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704225042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.