MRS. BRYNN FULLER


Address: 1101 Madison St Ste 800, Seattle, WA 98104-1307
Phone: 2063163083

MRS. BRYNN FULLER (NPI# 1073064473) 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) 1073064473
Entity Type Individual
Full Name MRS. BRYNN FULLER
Other Name BRYNN LEWIS
Credential MS ATC
Practice Address 1101 Madison St Ste 800
Seattle
WA 98104-1307
Mailing Address 994 56th St Apt 8
Oakland
CA 94608-3132
Practice Telephone 2063163083
Mailing Telephone 2063107369
Enumeration Date 2016-10-20
Last Update Date 2018-11-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
A160860096 WA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
751 Ne Blakely Dr Ste 5010, Issaquah, WA 980296201 2063107369

Office Location

Street Address 1101 MADISON ST STE 800
City SEATTLE
State WA
Zip Code 98104-1307

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275599631 John Pilgrim Osborn Pediatrics 1101 Madison St Ste 800, Seattle, WA 98104-1306 2006-04-25
1043636194 Danielle M Magrini Pediatrics 1101 Madison St Ste 800, Seattle, WA 98104-1307 2014-03-13
1265722789 Ranita Sana Patel Pediatrics 1101 Madison St Ste 800, Seattle, WA 98104-1307 2011-04-18
1902034028 Cindy Chunshin Tai Surgery 1101 Madison St Ste 800, Seattle, WA 98104-1307 2009-06-26
1376787366 Richy Lee Surgery 1101 Madison St Ste 800, Seattle, WA 98104 2009-04-22
1578753802 Dinesh Thekke Karumathil Pediatrics 1101 Madison St Ste 800, Seattle, WA 98104-1307 2007-08-01
1235200239 Gregory K. Sorensen Pediatrics 1101 Madison St Ste 800, Seattle, WA 98104-1307 2006-11-13
1144391145 Laurie S. Fouser Transplant Surgery 1101 Madison St Ste 800, Seattle, WA 98104-1307 2006-11-13
1053482059 Thomas N. Swanson Pediatrics 1101 Madison St Ste 800, Seattle, WA 98104-1307 2006-11-13
1841374568 Laurel M Saliman Orthopaedic Surgery 1101 Madison St Ste 800, Seattle, WA 98104 2006-10-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699394312 Richard Charles Harruff Pathology King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 2020-04-13
1558999474 Nathan Richard Benner Student in an Organized Health Care Education/Training Program Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 2020-03-27
1063058493 Brook, LLC. Health Educator 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 2019-11-20
1609418813 Stephanie Amanda Ann Mason Student in an Organized Health Care Education/Training Program 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 2019-10-09
1013480250 Robert Kenneth Lozier Pedorthist Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 2019-01-10
1548739576 Lee Hanses Physical Therapist 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 2018-11-20
1821579095 Karissa Lin Lee Pharmacist 401 Broadway #2075, Seattle, WA 98104 2018-08-27
1477042091 Maham Jehangir Student in an Organized Health Care Education/Training Program 325 9th Ave Department of Radiology, Seattle, WA 98104 2018-05-09
1740786581 Philip Daniel Tolley Student in an Organized Health Care Education/Training Program 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 2018-04-02
1528564242 Vanessa Dawn Leonhard Student in an Organized Health Care Education/Training Program 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 2018-04-02
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063030583 Elizabeth Kakos Specialist/Technologist 528 Pontius Ave N Unit 431, Seattle, WA 98109-5821 2020-07-10
1104467059 Julie Agel Specialist/Technologist 3251 47th Ave Sw, Seattle, WA 98116-3316 2019-10-02
1932759990 Katoya Unique Kinsey Specialist/Technologist 2033 6th Ave Fl 9, Seattle, WA 98121-2573 2019-09-12
1356903140 Jason Dandino Specialist/Technologist 550 14th Avenue, Seattle, WA 98122 2019-07-02
1871151480 Kendall Delaney Baker Specialist/Technologist 4155 14th Ave S, Seattle, WA 98108-1433 2019-05-30
1225591712 Juan Felipe Villegas-sotelo Specialist/Technologist 1124 S Dawson St, Seattle, WA 98108-2326 2019-04-10
1902387012 Rick Griffin Specialist/Technologist 1250 1st Ave S, Seattle, WA 98134-1216 2018-08-27
1477054013 Tori Mulitauaopele Specialist/Technologist 10848 4th Ave Sw, Seattle, WA 98146-2245 2018-02-27
1558877571 Elinora Gallogly Specialist/Technologist 123 N 103rd St Unit W301, Seattle, WA 98133-9136 2017-12-28
1073039988 Steven Mosher-stockinger Specialist/Technologist University of Washington Graves Building Box 354070, Seattle, WA 98195-0001 2017-08-22
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Competitor

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City SEATTLE
Zip Code 98104

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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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