DEBRA FULLER (NPI# 1053567362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053567362 |
| Entity Type | Individual |
| Full Name | DEBRA FULLER |
| Other Name | DEBRA DUMARAN |
| Practice Address |
357 Waianuenue Ave Hilo HI 96720-2439 |
| Practice Telephone | 8085891829 |
| Practice Fax Number | 8085892610 |
| Mailing Telephone | 8085891829 |
| Mailing Fax Number | 8085892610 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790176600 | Debra Fuller | Home Health | 4287 Otterbein Rd, Rushville, OH 43150-9607 | 2015-02-12 |
| 1255638607 | Debra A Fuller | Registered Nurse | 271 Pinnacle Dr, Lake Mills, WI 53551-2003 | 2011-02-22 |
| 1316447691 | Debra Louise Fuller | Counselor | 209 Milwaukee St, Mount Vernon, WA 98273-4200 | 2018-02-13 |
| 1093095663 | Debra Johnson Fuller | Nurse Practitioner | 105 W 8th Ave, Suite 7050, Spokane, WA 99204-2341 | 2011-08-26 |
| 1194018382 | Debra D Fuller | Physical Therapy Assistant | 3801 Santa Rosa, Kingman, AZ 86401-2311 | 2011-05-19 |
| Street Address |
357 WAIANUENUE AVE |
| City | HILO |
| State | HI |
| Zip Code | 96720-2439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609022912 | Mark Fomenko | Counselor | 357 Waianuenue Ave, Hilo, HI 96720-2439 | 2008-08-18 |
| 1902126592 | Antonio Komotar | Case Management | 357 Waianuenue Ave, Hilo, HI 96720-2439 | 2010-06-04 |
| 1386962520 | Betty J Hackley | Registered Nurse | 357 Waianuenue Ave, Hilo, HI 96720-2439 | 2010-05-12 |
| 1669790002 | Carol Dixon | Registered Nurse | 357 Waianuenue Ave, Hilo, HI 96720-2439 | 2010-05-10 |
| 1831336874 | Tyson Santos | Counselor | 357 Waianuenue Ave, Hilo, HI 96720-2439 | 2009-01-13 |
| 1861648172 | Robert Grogg | Counselor | 357 Waianuenue Ave, Hilo, HI 96720-2439 | 2008-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 1467086280 | Integrated Medicine Institute, Inc. | Nurse Practitioner | 868 Ululani Street Suite 106, Hilo, HI 96720 | 2020-03-02 |
| 1316405004 | Stephanie M Higa | Registered Nurse | Hc01 Stainback Hwy., Hilo, HI 96720 | 2019-03-12 |
| 1790257418 | Blake Honda | Behavior Technician | 879b Manono St., Hilo, HI 96720 | 2018-12-19 |
| 1184101446 | The Salvation Army | Substance Abuse Rehabilitation Facility | 105 Hokulani Street, Hilo, HI 96720 | 2018-07-19 |
| 1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
| 1154844454 | David Fundakowski | Behavioral Analyst | 69 Railroad Avenue, Hawaii Behavioral Health, Hilo, HI 96720 | 2017-07-19 |
| 1407381668 | Veronica Brockway | Counselor | 69 Railroad Ave Ste 3, Hilo, HI 96720 | 2017-04-25 |
| 1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
| 1427592666 | Amber Kainoa Arthur | Behavioral Analyst | 234 Waianuenue Ave. Suite 215, Hilo, HI 96720 | 2016-12-07 |
| Find all providers in zip 96720 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326556556 | Root2rise Cooperative | Marriage & Family Therapist | 234 Waianuenue Ave Ste 216, Hilo, HI 96720-2418 | 2018-01-23 |
| 1932616331 | Jasun Sulla | Marriage & Family Therapist | 891 Ululani St, Hilo, HI 96720-3982 | 2018-01-08 |
| 1831547306 | Erin Low | Marriage & Family Therapist | 234 Wainuenue Ave., Hawaii Behavioral Health, Hilo, HI 96720 | 2016-05-25 |
| 1821458779 | Judy Mai Marsh | Marriage & Family Therapist | 118 Kamehameha Ave Ste 3, Hilo, HI 96720-2813 | 2016-03-03 |
| 1447624556 | Big Island Health Clinic | Marriage & Family Therapist | 58 Kinoole St Ste 106, Hilo, HI 96720-2490 | 2015-12-01 |
| 1376892893 | Richard Teanio Jr. | Marriage & Family Therapist | 465 Desha Ave, Hilo, HI 96720-4818 | 2012-08-29 |
| 1962759563 | Raquel A. Chang | Marriage & Family Therapist | 135 Pu'uhonu Way, Suite 201, Hilo, HI 96720 | 2012-08-14 |
| 1265787113 | Gregory W Payne | Marriage & Family Therapist | 345 Kipuni St, Hilo, HI 96720-6050 | 2012-07-17 |
| 1710245360 | Ian Arruda | Marriage & Family Therapist | 21 Kamana St, Hilo, HI 96720-4149 | 2012-05-01 |
| 1386942225 | John G Souza Jr. | Marriage & Family Therapist | 234 Waianuenue Ave Ste 218, Hilo, HI 96720-2418 | 2011-03-01 |
| Find all providers in HILO | ||||
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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.