Kennedi Kirsten Fullwood

Primary specialty

Rehabilitation CounselorTaxonomy code 225C00000X

Practice address

122 S Haven St Unit 1F
Baltimore, MD 21224-2429

Phone

(410) 365-4117

NPI assigned

May 21, 2025

Last updated

May 21, 2025By the provider in NPPES

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

Practice roles

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

• A Perfect Start L.L.C.

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1598525073
  NPD

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1265224430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 TOMMY TRUE CT",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212344927",
            "telephone_number": "667-441-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S HAVEN ST UNIT 1F",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242429",
            "telephone_number": "410-365-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLWOOD",
        "first_name": "KENNEDI",
        "middle_name": "KIRSTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline L Fuller
• Lonnie Edward Fuller Jr., MD
• Robert Fuller, MD
• Katelin Fullerton, LCSW-C
• Joshua Fullwood
• Michael Alain Fulop, M.D.
• Anaya Fulton
• Carlyn Fulton, PA-C
• Carmen R Fulton, MD
• Gale Barbette Fulton, LCSW-C

• Rehabilitation Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Rehabilitation Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.