MICHAEL FULLER


Address: 1539 Cuba Rd, Mayfield, KY 42066-6809
Phone: 2702512924

MICHAEL FULLER (NPI# 1013577667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse LPN0000092565 TN Nursing Service Providers

Other Providers MICHAEL FULLER

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

Office Location

Street Address 1539 CUBA RD
City MAYFIELD
State KY
Zip Code 42066-6809

Providers in the same zip code

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 Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

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.

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City MAYFIELD
Zip Code 42066

Improve Information

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Dataset Information

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.

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