Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tara Fulkerson

Individual provider Rehabilitation Counselor · NPI 1265772867

Tara Fulkerson is a Rehabilitation Counselor in Louisville, Kentucky. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2
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Practice location Address checks out

4710 Champions Trace Ln #104
Louisville, KY 40218-3495 Not confirmed with CMS for 12 years — call before visiting
Phone: (502) 589-8600
Fax: (502) 589-8771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Rehabilitation Counselor Taxonomy 225C00000X

Record details

NPI number1265772867
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 20, 2013
Last updated in NPPESMay 5, 2014

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