CARL FULLER II (NPI# 1063860427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063860427 |
| Entity Type | Individual |
| Full Name | CARL FULLER II |
| Practice Address |
88 Riverbrook Rd Lumberton NC 28358-8666 |
| Practice Telephone | 9105369721 |
| Mailing Telephone | 9105369721 |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | A5070 | NC | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811389943 | Carl Wayne Fuller Jr. | Counselor | 2101 Courage Dr, Ms 10-300, Fairfield, CA 94533-6717 | 2015-02-26 |
| 1710279104 | Carl Lamar Fuller | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2011-05-04 |
| Street Address |
88 RIVERBROOK RD |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-8666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812397 | Monarch | Community/Behavioral Health | 13128 Serenity Street, Huntersville, NC 28358 | 2019-10-15 |
| 1114577194 | Lashonda Patrice Bostic | Social Worker | 4719 Fayetteville Road, Lumberton, NC 28358 | 2019-09-12 |
| 1780232389 | Rosaline Whittington | Technician | 39 Sibley Road, Lumberton, NC 28358 | 2019-08-28 |
| 1790343168 | Emily Graham | Social Worker | 401 S. 27th Street, Lumberton, NC 28358 | 2019-05-31 |
| 1316420722 | Karen Lynn Warwick | Nurse Practitioner | 600 Farringdom St # Ab, Lumberton, NC 28358 | 2018-09-11 |
| 1982184149 | Virginia Feldick Hampton | Speech-Language Pathologist | Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-08-17 |
| 1366941882 | Ashlynn Faircloth Mckeithan | Occupational Therapist | 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-02-10 |
| 1992153506 | Matthew Mercer | Nurse Anesthetist, Certified Registered | 2703 Riverwood Ave, Lumberton, NC 28358 | 2016-05-25 |
| 1295100964 | Chosen Health Care Services Inc | In Home Supportive Care | 705b Wesley Pines Road, Lumberton, NC 28358 | 2015-12-07 |
| 1346626173 | Brittany Renea Chavis | Social Worker | 888 Wire Grass Road, Lumberton, NC 28358 | 2015-08-04 |
| Find all providers in zip 28358 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578178166 | Jimmilisa Totten | Contractor | 4629 Hope Valley Rd Apt A, Durham, NC 27707-6611 | 2020-09-10 |
| 1740895531 | Tina Lashay Johnson | Contractor | 5511 Monroe Rd Ste 206, Charlotte, NC 28212-5503 | 2020-09-09 |
| 1548879166 | Tamika M Wright | Contractor | 638 Wilora Landing Rd, Charlotte, NC 28212-8456 | 2020-07-29 |
| 1164030623 | Nakela Humphries | Contractor | 4957 Albemarle Rd Ste A, Charlotte, NC 28205-6617 | 2020-07-21 |
| 1205454501 | Kristal Leigh Armstrong | Contractor | 460 Dickens Dr, Raleigh, NC 27610-2454 | 2020-07-13 |
| 1265061303 | Tyjean Moore | Contractor | 5205 Autumn Woods Dr, Greensboro, NC 27407-5066 | 2020-04-01 |
| 1891325924 | Kimberly Whitaker | Contractor | 8 Rocky Ridge Pt, Greensboro, NC 27405-5545 | 2020-01-16 |
| 1386289494 | Felicia Vann | Contractor | 135 Hunting Ridge Rd Apt 900, Roanoke Rapids, NC 27870-4127 | 2019-11-12 |
| 1649828948 | Paul Daniel Rodgers | Contractor | 211 Beth St, Greenville, NC 27858-8607 | 2019-08-29 |
| 1508412123 | Gabriel Stevens | Contractor | 105 Bass Hound Cir, Fuquay Varina, NC 27526-6360 | 2019-08-11 |
| 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.