Ivernoner C Fultz

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT147482 Issued in TX

Practice address

797 County Road 250
Falls City, TX 78113-2885

Phone

(210) 723-2728

NPI assigned

Nov 24, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1194687558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "797 COUNTY ROAD 250",
            "city": "FALLS CITY",
            "state": "TX",
            "postal_code": "781132885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 COUNTY ROAD 250",
            "city": "FALLS CITY",
            "state": "TX",
            "postal_code": "781132885",
            "telephone_number": "210-723-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTZ",
        "first_name": "IVERNONER",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT147482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Camber, LPC
• Falls City I.S.D.
• Laramie Ann Glover
• Paula A Lyssy, M.A.
• Kelsea C Owens, MS,CCC-SLP
• Billy J Potts, MSN, APRN, FNP-C
• Rural Texas Psychoeducational Services, PLLC

• Massage Therapist in Falls City, TX
• Providers in Falls City, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.