MICHAEL FULLER (NPI# 1013577667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013577667 |
Entity Type | Individual |
Full Name | MICHAEL FULLER |
Credential | LPN |
Practice Address |
1539 Cuba Rd Mayfield KY 42066-6809 |
Mailing Address |
425 Broadway St Ste 201 Paducah KY 42001-0713 |
Practice Telephone | 2702512924 |
Mailing Telephone | 2704427121 |
Enumeration Date | 2019-06-17 |
Last Update Date | 2019-06-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164W00000X | Licensed Practical Nurse | LPN0000092565 | TN | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376027508 | Michael Fuller | Case Manager/Care Coordinator | 3284 N Bend Rd Ste 108, Cincinnati, OH 45239-7688 | 2018-09-24 |
1144638594 | Michael Fuller | Counselor | 777 Silver Oak Dr Apt D117, Carson City, NV 89706-1908 | 2014-07-30 |
1568777811 | Michael Eugene Fuller | Counselor | 1743 Gay Dr, Orlando, FL 32803-1914 | 2010-08-11 |
1972816221 | Michael Daniel Fuller | Dentist | 7760 W Voice of America Park Dr Ste A, West Chester, OH 45069-3371 | 2010-07-15 |
1245461300 | Michael Fuller | Chiropractor | 1143 Kildaire Farms Rd, Cary, NC 27511-4563 | 2009-08-06 |
1972519049 | Michael Fuller | Dentist | 7650 Currell Blvd Ste 200, Woodbury, MN 55125-8209 | 2006-07-31 |
1881218303 | Michael Fuller | Health Educator | 3411 Division Dr, West Plains, MO 65775-5789 | 2020-06-01 |
1609498302 | Michael L Fuller | Psychologist | 205 N 7th St, Zanesville, OH 43701-3791 | 2020-05-15 |
1780044586 | Michael Fuller | General Practice | 6490 Main St, Ste 1, Williamsville, NY 14221-5853 | 2016-03-07 |
1083084115 | Michael Fuller | Counselor | 1100 N D St, San Bernardino, CA 92410-3524 | 2015-10-01 |
Street Address |
1539 CUBA RD |
City | MAYFIELD |
State | KY |
Zip Code | 42066-6809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760031959 | Snh Derby Tenant LLC | Assisted Living Facility | 1517 West Broadway Street, Mayfield, KY 42066 | 2019-09-10 |
1033674254 | Mind, Body, Soul, LLC | Clinic/Center | 1325 Us 45 S, Suite C, Mayfield, KY 42066 | 2019-02-01 |
1699288936 | Kimberly Kaye Gooch | Developmental Therapist | 3907 State Route 303, Mayfield, KY 42066 | 2017-11-08 |
1538604657 | Courtney L Coleman | Nurse Practitioner | 1029 Medical Center Cir Ste 200, Mayfield, KY 42066 | 2016-12-28 |
1659814721 | Bertha Workman | Voluntary or Charitable | 331 South 7th Street, Mayfield, KY 42066 | 2016-11-22 |
1699174052 | Laura Dassing | Counselor | 1325 Hwy 45 N, Mayfield, KY 42066 | 2014-08-21 |
1275947905 | Wkda Services LLC | Community/Behavioral Health | 1325 U S Hwy 45n, Mayfield, KY 42066 | 2014-06-20 |
1538594247 | Young Healthcare LLC | Chiropractor | 1011 Paris Road #341, Mayfield, KY 42066 | 2013-09-12 |
1811335649 | Donald Bennett Dowdy | Dentist | 236 N. 6th St., Mayfield, KY 42066 | 2013-06-14 |
1578822623 | Wanda Bingham Marshall | Counselor | 325 South 8th Street, West Kentucky Counseling Center, Mayfield, KY 42066 | 2012-05-10 |
Find all providers in zip 42066 |
Taxonomy Code | 164W00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Practical Nurse |
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396357729 | Jennifer Gayle Stillwell | Licensed Practical Nurse | 202 Overlook Estates Drive, Shepherdsville, KY 40165 | 2020-08-18 |
1154964963 | Nancy Beth Akers | Licensed Practical Nurse | 451 Marcia St, Ashland, KY 41101-2536 | 2019-10-24 |
1730739749 | Tondraleia Lon-shel Lawson | Licensed Practical Nurse | 3113 Kingswood Way, Louisville, KY 40216-4916 | 2019-09-12 |
1497304216 | Tammy Melvin | Licensed Practical Nurse | 1425 Ford Hampton Rd, Winchester, KY 40391-8093 | 2019-09-04 |
1982160453 | Taree Patillo | Licensed Practical Nurse | 410 Bermuda Ln, Louisville, KY 40213-3318 | 2019-02-20 |
1861959314 | Kimberly Ann Matthews | Licensed Practical Nurse | 2812 N Highway 261, Hardinsburg, KY 40143-4983 | 2019-02-20 |
1154801041 | James W Strawser | Licensed Practical Nurse | 6209 Ancient Oak Dr Apt 129, Florence, KY 41042-1038 | 2018-08-20 |
1184118887 | Denise Goldsmith-kelley | Licensed Practical Nurse | 2611 Northwestern Pkwy, Louisville, KY 40212 | 2018-06-18 |
1568901387 | Appalachian Holdings Company LLC | Licensed Practical Nurse | 519 Booth Rd, Pine Ridge, KY 41360-8805 | 2017-02-13 |
1285000679 | Thelma Stearman | Licensed Practical Nurse | 628 Crossings Ct, Bowling Green, KY 42104-5465 | 2015-08-19 |
Find all providers with the same taxonomy |
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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.