Sandi K Fultz, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3823 Issued in OK

Practice address

1608 S Elwood Ave
Tulsa, OK 74119-4208

Phone

(918) 587-3888

Fax

(918) 587-3891

NPI assigned

Jul 3, 2007

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

Practice roles

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.

• Resonance Center for Women, Inc.

  • Community/Behavioral Health Agency
  • Tulsa, OK
  • NPI 1366568602
  NPD (past)

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477751345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10255 E 540 RD",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740190297",
            "telephone_number": "918-587-3888",
            "fax_number": "918-587-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 S ELWOOD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741194208",
            "telephone_number": "918-587-3888",
            "fax_number": "918-587-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTZ",
        "first_name": "SANDI",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Michelle Fulp
• Chelsey Fulps
• Talor Dee Fulps, DPT
• Raegan Fulton
• Melisha Kanish Fultz, MS. LPC.
• Ashley Funburg
• Function Analytics
• Functional Communication Solutions, Inc.
• Carl Porter Funderburk, MSW CANNIDATE
• Jake Funderburk

• Professional Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Professional Counselor in Oklahoma

• 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.