Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mrs. Kimothy Ann Fulk, APN NP C

Adult Health Nurse Practitioner in Lawrenceville, IL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1770515728

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Registry record

Entity type Individual (Type 1)

Name Mrs. Kimothy Ann Fulk

Credential APN NP C

Sex Female

Practice address 11020 State Route 250, Lawrenceville, IL, 62439

Phone (618) 943-2609

Fax (618) 943-6409

Enumeration date Jul 7, 2006

Last updated in NPPES Sep 9, 2019

Taxonomy & licenses

363LA2200X Adult Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 209005713 (IL) Primary

Other identifiers

Identifier	Type	State	Issuer
376006178007	Medicaid	IL	-
731354	Other	IL	HEALTH LINK INS
5132004	Other	IL	BCBS
838915	Other	-	UNITED HEALTHCARE
109800	Other	IL	HEALTH ALLIANCE INS
1729885	Other	-	FIRST HEALTH

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Kimothy Fulk?

Kimothy Fulk is registered in NPPES with the primary taxonomy of Adult Health Nurse Practitioner. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-09-09.