MR. CHRISTOPHER SHAWN FULLER (NPI# 1063659662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063659662 |
| Entity Type | Individual |
| Full Name | MR. CHRISTOPHER SHAWN FULLER |
| Practice Address |
19515 Stamford Dr Tomball TX 77375-0904 |
| Mailing Address |
13280 Northwest Fwy Suite F391 Houston TX 77040-6029 |
| Practice Telephone | 8328829228 |
| Practice Fax Number | 2815160161 |
| Mailing Telephone | 7139064455 |
| Mailing Fax Number | 2815160161 |
| Enumeration Date | 2009-01-19 |
| Last Update Date | 2009-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437786704 | Christopher Fuller | Clinical Exercise Physiologist | 1919 S Wolf Rd Apt 213, Hillside, IL 60162-2128 | 2020-03-25 |
| 1912320334 | Christopher Marshall Fuller | Developmental Therapist | 5132 Edgeware Ct., Jacksonville, FL 32217 | 2014-01-22 |
| 1003424656 | Christopher Fuller | Physical Therapist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-07-20 |
| 1952819344 | Christopher A Fuller | Case Manager/Care Coordinator | 1217 Riverside Ave, Fort Collins, CO 80524-3218 | 2018-01-19 |
| 1255704425 | Christopher Fuller | Counselor | 620 E Afton Oaks Blvd, San Antonio, TX 78232-1236 | 2015-11-10 |
| 1487026936 | Christopher Fuller | Pharmacist | 1631 S Melrose Dr, Vista, CA 92081-2405 | 2015-10-23 |
| 1811235286 | Christopher Paul Fuller | Pharmacist | 3720 Nw 13th St, Suite 9, Gainesville, FL 32609-5906 | 2013-01-20 |
| 1497006480 | Christopher Patrick Fuller | Pharmacist | 297 Highway 20 S, Pelzer, SC 29669-9405 | 2012-10-01 |
| 1790830032 | Christopher G. Fuller | Ophthalmology | 4517 98th St, Lubbock, TX 79424-5013 | 2007-01-25 |
| 1962466961 | Christopher Kenton Fuller | Dermatology | 1615 Hospital Pkwy, Suite 306, Bedford, TX 76022-5934 | 2006-04-14 |
| Street Address |
19515 STAMFORD DR |
| City | TOMBALL |
| State | TX |
| Zip Code | 77375-0904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063997997 | Michael Jahn | Counselor | 103 Tadpole Court, Woodlands, TX 77375 | 2018-09-26 |
| 1467943266 | Willow Creek Smiles Pllc | Clinic/Center | 9166 Farm To Market 2920 Rd, Suite 900, Tomball, TX 77375 | 2018-05-29 |
| 1962991315 | Betty Harbour | Technician | 10 Capri Bend, Tom Ball, TX 77375 | 2018-05-01 |
| 1336652353 | Juanita Dolores Paras | Occupational Therapy Assistant | 19203 Carriage Vale Ln, Tomball, TX 77375 | 2017-11-13 |
| 1215446885 | Ideal Dental of Augusta Pines Pllc | Dentist | 25760 Kuykendahl, Suite A, Tomball, TX 77375 | 2017-09-26 |
| 1285151936 | Cagney Reeves | Pharmacist | 28520 Tobmall Parkway, Tomball, TX 77375 | 2017-08-24 |
| 1710411616 | Perseverance Heatlh Innovation Ltd | Contractor | 21706 Willow Downs, Tomball, TX 77375 | 2017-04-18 |
| 1972042158 | Rite Choice Healthcare, Pllc | Dentist | 27030 Tomball Pkwy, Tomball, TX 77375 | 2017-02-21 |
| 1306398029 | Pharmcare Usa of Houston LLC | Pharmacy | 420 Chestnut Business Park Dr., Suite C, Tomball, TX 77375 | 2016-10-28 |
| 1992256325 | Wal-mart Stores Texas, LLC | Technician/Technologist | 25800 Kuykendahl Road, Tomball, TX 77375 | 2016-10-20 |
| Find all providers in zip 77375 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174910277 | Mindy Mcintosh | Case Manager/Care Coordinator | 13719 Arcott Bend Dr, Tomball, TX 77377-2561 | 2015-04-16 |
| 1902109986 | Marilyn Limbrick | Case Manager/Care Coordinator | 20122 Yosemite Falls Dr, Tomball, TX 77375-2708 | 2010-12-13 |
| 1386897106 | Janice Marie Freel | Case Manager/Care Coordinator | 25002 Iberis Meadows Dr, Tomball, TX 77375-5612 | 2008-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911644 | Ramiro Meave Jr. | Case Manager/Care Coordinator | 6162 Misty Meadow Rd Apt 1102, Corpus Christi, TX 78414-2570 | 2020-10-31 |
| 1992305999 | Jonah Micah Reyes | Case Manager/Care Coordinator | 94 Briggs St Ste 450, San Antonio, TX 78224-1294 | 2020-10-28 |
| 1285233668 | Patricia A Griffith | Case Manager/Care Coordinator | 203 Brewer St, Navasota, TX 77868-3603 | 2020-10-18 |
| 1699380881 | Margarita Williams | Case Manager/Care Coordinator | 111 W Anderson Ln # D202-b, Austin, TX 78752-1132 | 2020-09-14 |
| 1497360945 | Chosen Care, Inc. | Case Manager/Care Coordinator | 144 Clemens Ave, New Braunfels, TX 78130-5613 | 2020-09-11 |
| 1306451828 | Dorneisia Tyson | Case Manager/Care Coordinator | 320 E Wintergreen Rd Apt 20h, Desoto, TX 75115-2473 | 2020-09-11 |
| 1548874332 | Alicia Pery | Case Manager/Care Coordinator | 5997 Shady Oaks Dr, Frisco, TX 75034-7228 | 2020-08-31 |
| 1265045694 | Dimide Inc. | Case Manager/Care Coordinator | 1928 Transcendence Dr, St Paul, TX 75098-0900 | 2020-08-25 |
| 1326658261 | Jasmine Capers | Case Manager/Care Coordinator | 5700 N Knoll Apt 201, San Antonio, TX 78240-2253 | 2020-08-05 |
| 1588272876 | Avarita Shari Henry | Case Manager/Care Coordinator | 3710 Iris Ridge Way, Fresno, TX 77545-6040 | 2020-07-22 |
| 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.