Active NPI
Tonya L Fulk, CNP
- Family Nurse Practitioner
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN202025, COA 03129
- Practice address
- 9500 Euclid Ave
Cleveland, OH 44195-0001 - Phone
- (216) 444-5802
- NPI assigned
- Dec 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN202025, COA 03129 | OH | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | NP03129 | OH | |
| Women's Health Nurse Practitioner | 363LW0102X | RN202025NP03129 | OH |
Addresses
Primary practice location
9500 Euclid Ave
Cleveland, OH 44195-0001
Mailing address
9500 Euclid Avenue
Cleveland, OH 44195
Phone (216) 444-5802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN 202025 | Other | OH | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
110 Dublin Dr
Dover, OH 44622-7805
Phone (330) 343-0753
16761 Southpark Ctr
Strongsville, OH 44136-9302
Phone (440) 878-2500
1740 Cleveland Rd
Wooster, OH 44691-2204
Phone (330) 287-4500
1813 Nagel Rd
Suite 500
Avon, OH 44011-6401
Phone (440) 695-6740
27089 Bagley Rd
Olmsted TWP, OH 44138-1103
Phone (440) 234-4700
7337 Caritas Cir NW
Massillon, OH 44646-9126
Phone (330) 830-6110
8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950
9500 Euclid Ave
Cleveland, OH 44195-0001
Hospital & facility affiliations
- Cleveland Clinic
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN202025, COA 03129 | OH | MD | Family Nurse Practitioner |
| NP03129 | OH | MD | Women's Health Nurse Practitioner |
| RN202025NP03129 | OH | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleveland Clinic Mercy Hospital | Current | Accepting new patients | |
| Wooster Clinic, LLC | Current | Accepting new patients | |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| Union Physician Services, LLC | Current | Accepting new patients |
Locations
525 E Market St
Akron, OH 44304
Phone (330) 375-6350
1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1000
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
205 Hospital Dr
Dover, OH 44622
Phone (330) 343-3335
110 Dublin Dr
Dover, OH 44622
Phone (330) 343-0753
6200 Whipple Ave NW
North Canton, OH 44720
Phone (330) 966-8884
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500
Interoperability endpoints
- tfulk412619@direct.ccf.org
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.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- General Acute Care Hospital
- Canton, OH
- NPI 1366433195
-
- Family Medicine Physician
- Dover, OH
- NPI 1215169826
-
- Multi-Specialty Clinic/Center
- Wooster, OH
- NPI 1033135009
-
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483920000000",
"number": "1801070941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 EUCLID AVENUE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44195",
"telephone_number": "216-444-5802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441950001",
"telephone_number": "216-444-5802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULK",
"first_name": "TONYA",
"middle_name": "L",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-26",
"last_updated": "2017-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "RN202025, COA 03129",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "OH",
"license": "NP03129",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "OH",
"license": "RN202025NP03129",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "RN 202025",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.