Amanda Fultz, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

85485 Issued in WV

Practice address

401 South Queen Street
Berkeley County Board of Ed
Martinsburg, WV 25401

Phone

(304) 267-3595

Fax

(304) 267-3599

NPI assigned

Oct 20, 2016

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1750832176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SOUTH QUEEN STREET",
            "address_2": "BERKELEY COUNTY BOARD OF ED",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "25401",
            "telephone_number": "304-267-3595",
            "fax_number": "304-267-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SOUTH QUEEN STREET",
            "address_2": "BERKELEY COUNTY BOARD OF ED",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "25401",
            "telephone_number": "304-267-3595",
            "fax_number": "304-267-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTZ",
        "first_name": "AMANDA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WV",
            "license": "85485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Fritz
• Rachel Fronck, MT
• Ally Frushour
• Randy Clay Fulk, R.PH
• Tara Fulkerson
• Cathy Marie Funk, M.D.
• Tara Funkhouser, LCSW-C
• Rebecca Lauren Furby
• G4 Hearing Inc
• Karolyn Shirley Gable, N.P.

• All providers in Martinsburg, WV
• School Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.