Active NPI
Fulmer Chiropractic, PLLC
- Chiropractor
- Kingsport, TN
National Provider Identifier
1811252901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1206
- Legal business name
- FULMER CHIROPRACTIC, PLLC
- Practice address
- 150 Clinic Dr Ste C
Kingsport, TN 37663-2254 - Phone
- (423) 726-2668
- Fax
- (423) 726-2667
- NPI assigned
- Jul 5, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Connie D. Fulmer
- Title
- Chiropractic Physician
- Phone
- (423) 726-2668
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1206 | MS | Primary |
| Chiropractor | 111N00000X | 0000002577 | TN |
Addresses
Primary practice location
150 Clinic Dr Ste C
Kingsport, TN 37663-2254
Mailing address
PO Box 6024
Kingsport, TN 37663-1024
Phone (423) 726-2668
National Provider Directory
National Provider DirectoryLocations
2102 Forest Dr
Ste 4
Gray, TN 37615
Phone (423) 207-6055
150 Clinic Dr
Ste C
Kingsport, TN 37663
Phone (423) 726-2668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555286400000",
"number": "1811252901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6024",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376631024",
"telephone_number": "423-726-2668",
"fax_number": "423-726-2667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 CLINIC DR STE C",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376632254",
"telephone_number": "423-726-2668",
"fax_number": "423-726-2667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULMER CHIROPRACTIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-05",
"last_updated": "2019-04-15",
"status": "A",
"authorized_official_last_name": "FULMER",
"authorized_official_first_name": "CONNIE",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
"authorized_official_telephone_number": "423-726-2668",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MS",
"license": "1206",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TN",
"license": "0000002577",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.