JUSTIN FULLER (NPI# 1013565613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013565613 |
| Entity Type | Individual |
| Full Name | JUSTIN FULLER |
| Credential | CRNP |
| Practice Address |
70 Plaza Dr Pell City AL 35125-9314 |
| Practice Telephone | 2058149284 |
| Practice Fax Number | 2058149626 |
| Mailing Telephone | 2058149284 |
| Mailing Fax Number | 2058149626 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-131835 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588955215 | Justin Timothy Fuller | Pediatrics | 1949 Hospital Dr, Martinsville, IN 46151-1861 | 2011-04-28 |
| Street Address |
70 PLAZA DR |
| City | PELL CITY |
| State | AL |
| Zip Code | 35125-9314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558346312 | Carl T Frosina | Internal Medicine | 70 Plaza Dr, Inri Medical Associates PC Dba Northside Medical, Pell City, AL 35125-9314 | 2005-12-14 |
| 1033723986 | Erin Chrisla Martin | Nurse Practitioner | 70 Plaza Dr, Pell City, AL 35125-9314 | 2020-09-08 |
| 1346801883 | Christy J Hill | Nurse Practitioner | 70 Plaza Dr, Pell City, AL 35125-9314 | 2019-06-25 |
| 1790243582 | Kaitlyn Traywick Pierce | Registered Nurse | 70 Plaza Dr, Pell City, AL 35125-9314 | 2019-03-11 |
| 1477028744 | Antoinette Spellmon | Nurse Practitioner | 70 Plaza Dr, Pell City, AL 35125-9314 | 2018-10-12 |
| 1063924868 | Jack Vibbert | Family Medicine | 70 Plaza Dr, Pell City, AL 35125-9314 | 2017-11-02 |
| 1689192080 | Orthosports Associates, LLC | Orthopaedic Surgery | 70 Plaza Dr, Pell City, AL 35125-9314 | 2017-09-06 |
| 1992256010 | Cassie Burton | Nurse Practitioner | 70 Plaza Dr, Pell City, AL 35125-9314 | 2016-10-24 |
| 1659725786 | Kaley Green | Nurse Practitioner | 70 Plaza Dr, Pell City, AL 35125-9314 | 2016-04-14 |
| 1952765794 | Emily Pitts | Nurse Practitioner | 70 Plaza Dr, Pell City, AL 35125-9314 | 2016-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629507082 | Christoph Scott Koogler | Pharmacist | 165 Vaughn Lane, Pell City, AL 35125 | 2017-06-08 |
| 1104133693 | State of Alabama Department of Public Health | Nurse Practitioner | 1175 23rd Street North, St. Clair County Health Department, Pell City, AL 35125 | 2010-09-07 |
| 1801918776 | David Timothy Sawyer | Dentist | 402a Cogswell Ave, Pell City, AL 35125 | 2007-04-04 |
| 1528106341 | Patricia Yvonne Hamilton | Counselor | 1540 Center Point Pkway, Suite 102, Birmingham, AL 35125 | 2007-02-02 |
| 1316028566 | Glenn Hendrick Magargee | Counselor | 8 16th Street, Pell City, AL 35125 | 2006-10-17 |
| 1508965633 | Derek Matthew Morris | Pharmacist | 505 Martin Street, Pell City, AL 35125 | 2006-09-22 |
| 1699882738 | Hasmukh Nagindas Jariwala | Internal Medicine | 2811 Dr John Haynes Dr, Suite 102, Pell City, AL 35125 | 2006-08-24 |
| 1912914185 | Sara V Thompson | Nurse Practitioner | 70 Plaza Drive, Pell City, AL 35125 | 2006-08-01 |
| 1972547636 | Elisabeth May Douglass | Physical Therapist | 85 Plaza Drive, Pell City, AL 35125 | 2006-06-15 |
| 1851376610 | Barry G Collins | Internal Medicine | 7067 Veterans Parkway, Suite 200, Pell City, AL 35125 | 2005-12-14 |
| Find all providers in zip 35125 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264725 | Sabine Susanne Lamont | Nurse Practitioner | 41 Eminence Way, Suite A, Pell City, AL 35128-2338 | 2020-10-27 |
| 1053939967 | Rebecca Lowe Bogert | Nurse Practitioner | 205 Edwin Holladay Pl, Pell City, AL 35125-1601 | 2020-07-07 |
| 1104133693 | State of Alabama Department of Public Health | Nurse Practitioner | 1175 23rd Street North, St. Clair County Health Department, Pell City, AL 35125 | 2010-09-07 |
| 1912914185 | Sara V Thompson | Nurse Practitioner | 70 Plaza Drive, Pell City, AL 35125 | 2006-08-01 |
| 1871106641 | Paula M. Hunt | Nurse Practitioner | 20 Hazelwood Dr, Pell City, AL 35125-3382 | 2020-08-31 |
| 1699243220 | Jessica Stewart | Nurse Practitioner | 510 Wolf Creek Rd N, Pell City, AL 35125-2477 | 2018-11-13 |
| 1477028744 | Antoinette Spellmon | Nurse Practitioner | 70 Plaza Dr, Pell City, AL 35125-9314 | 2018-10-12 |
| 1538650270 | Brittany Haverland Washington | Nurse Practitioner | 74 Plaza Dr, Pell City, AL 35125-9314 | 2018-05-29 |
| 1992256010 | Cassie Burton | Nurse Practitioner | 70 Plaza Dr, Pell City, AL 35125-9314 | 2016-10-24 |
| 1659725786 | Kaley Green | Nurse Practitioner | 70 Plaza Dr, Pell City, AL 35125-9314 | 2016-04-14 |
| Find all providers in PELL CITY | ||||
Please comment or provide details below to improve the information on JUSTIN FULLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.