Active NPI
Yvonne R Fulton, OT
- Occupational Therapist
- Portage, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201002352
- Practice address
- 7971 Moorsbridge
Portage, MI 49024-4075 - Phone
- (269) 321-0929
- NPI assigned
- Mar 12, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201002352 | MI | Primary |
Addresses
Primary practice location
7971 Moorsbridge
Portage, MI 49024-4075
Mailing address
7971 Moorsbridge
Portage, MI 49024-4075
Phone (269) 321-0929
Other practice location 1
601 John St Ste M-206C
Kalamazoo, MI 49007-5359
Phone (269) 349-8601
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.bronsonhg.org | Direct | Bronson Healthcare Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 John St
Kalamazoo, MI 49007-5341
601 John St
Kalamazoo, MI 49007-5377
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronson Battle Creek Hospital | Current | Accepting new patients | |
| Bronson Methodist Hospital | Current | Accepting new patients | |
| Bronson Battle Creek Hospital | Current | Accepting new patients |
Locations
300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862
710 North Ave
Battle Creek, MI 49017
Phone (269) 704-3133
601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500
601 John St
Ste M-206C
Kalamazoo, MI 49007
Phone (269) 349-8601
601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100
7901 S 12th St
Ste 200
Portage, MI 49024
Phone (269) 341-8585
Interoperability endpoints
- direct@direct.bronsonhg.org
Organizations & group practices 3
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.
-
- Hospitalist Physician
- Kalamazoo, MI
- NPI 1417961137
-
- Internal Medicine Physician
- Battle Creek, MI
- NPI 1093119638
-
- Community/Retail Pharmacy
- Battle Creek, MI
- NPI 1740351907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640822400000",
"number": "1972826337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7971 MOORSBRIDGE",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490244075",
"telephone_number": "269-321-0929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7971 MOORSBRIDGE",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490244075",
"telephone_number": "269-321-0929"
}
],
"practiceLocations": [
{
"address_1": "601 John St Ste M-206C",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490075359",
"country_code": "US",
"telephone_number": "269-349-8601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FULTON",
"first_name": "YVONNE",
"middle_name": "R",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-12",
"last_updated": "2021-12-30",
"certification_date": "2021-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201002352",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.bronsonhg.org",
"affiliation": "Y",
"endpointDescription": "Bronson Healthcare Group Direct address",
"affiliationName": "Bronson Healthcare Group",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Continuity of Care Document",
"address_1": "601 John St",
"city": "Kalamazoo",
"state": "MI",
"country_code": "US",
"postal_code": "490075341",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.