REBECCA BALDWIN FULLER (NPI# 1083818389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083818389 |
| Entity Type | Individual |
| Full Name | REBECCA BALDWIN FULLER |
| Credential | NP |
| Practice Address |
209 Gibson St Nw Suite 202 Leesburg VA 20176-2122 |
| Mailing Address |
44035 Riverside Pkwy Ste 300 Leesburg VA 20176-8260 |
| Practice Telephone | 6462284868 |
| Mailing Telephone | 7035546800 |
| Mailing Fax Number | 7037247503 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2018-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
0024168084 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
304631 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578678199 | Rebecca Wheat Fuller | Dietitian, Registered | 1930 Country Club Blvd, Sugar Land, TX 77478-3910 | 2006-08-21 |
| 1013548213 | Rebecca Sue Fuller | Counselor | 132 E Broadway Ste 301, Eugene, OR 97401-3154 | 2020-01-28 |
| 1831617646 | Rebecca Lynn Fuller | Dietitian, Registered | 3229 E Genesee St, Syracuse, NY 13214-2016 | 2017-08-31 |
| 1588007827 | Rebecca Fuller | Student in an Organized Health Care Education/Training Program | 13335 W Missouri Ave, Litchfield Park, AZ 85340-8500 | 2013-04-16 |
| 1881945392 | Rebecca Ann Fuller | Speech-Language Pathologist | 2815 County Highway I, Chippewa Falls, WI 54729-2656 | 2012-09-24 |
| 1558662494 | Rebecca Christine Fuller | Dietitian, Registered | 3000 St Matthews Rd, Orangeburg, SC 29118-1498 | 2010-11-09 |
| Street Address |
209 GIBSON ST NW SUITE 202 |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336137587 | Patricia Peck | Nurse Practitioner | 209 Gibson St Nw, Leesburg, VA 20176-2122 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912923 | Timothy Michael Nixon | Pharmacist | 61 Catoctin Circle, Leesburg, VA 20176 | 2020-11-05 |
| 1558996645 | Stacey E Moran | Occupational Therapist | 44124 Woodrige Parkway, Lansdowne, VA 20176 | 2020-03-09 |
| 1710531272 | Joseph H Kasuska Jr. | Specialist/Technologist | 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 | 2019-08-01 |
| 1568935849 | Joel Manalang Polintan Jr. | Physical Therapist | 171 Cedarwalk Circle, Leesburg, VA 20176 | 2019-01-09 |
| 1194203026 | Jing Cao | Acupuncturist | 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 | 2018-08-02 |
| 1134648314 | Alaina Marie Gotwalt | Speech-Language Pathologist | 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 | 2017-09-19 |
| 1841717105 | Happy Inhome Care Corp | Respite Care | 722 E Market St Ste 103, Leesburg, VA 20176 | 2017-08-28 |
| 1912423484 | Aaa Good Healthcare LLC | Nursing Care | 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 | 2017-08-16 |
| 1740704253 | Anna Maria Domingo Seaford | Physician Assistant | 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 | 2017-07-27 |
| 1710436480 | Reena Patel | Physician Assistant | 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 | 2016-09-23 |
| Find all providers in zip 20176 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811409170 | Melissa Ann Festa | Nurse Practitioner | 600 East Dixie Avenue, Leesburg, FL 34748-5928 | 2017-10-26 |
| 1386028173 | Connie Renea Williams | Nurse Practitioner | 11032 Moore St, Leesburg, FL 34788-4341 | 2015-07-13 |
| 1952641433 | Kristi M Phillips | Nurse Practitioner | 161 Fort Evans Rd Ne Ste 340, Leesburg, VA 20176-3375 | 2013-02-21 |
| 1841436243 | Pamela Sue Sabella | Nurse Practitioner | Loudoun Free Clinic, 224a Cornwall Street, Nw, Leesburg, VA 20176 | 2009-01-06 |
| 1336137587 | Patricia Peck | Nurse Practitioner | 209 Gibson St Nw, Leesburg, VA 20176-2122 | 2005-10-12 |
| 1245757327 | Nicole Carter | Nurse Practitioner | 8404 Us Highway 441, Leesburg, FL 34788-4016 | 2017-08-29 |
| 1740727593 | Kirsten Nolan | Nurse Practitioner | 601 E Dixie Ave, Suite 1001, Leesburg, FL 34748-5953 | 2017-01-31 |
| 1013378124 | Gillian Zeile | Nurse Practitioner | 44035 Riverside Pkwy, Suite 300, Leesburg, VA 20176-8260 | 2016-03-16 |
| 1629406871 | Domenica Angela Angiuli | Nurse Practitioner | 163 Fort Evans Rd Ne, Leesburg, VA 20176-4420 | 2013-10-25 |
| 1144655218 | Erin Patricia Young | Nurse Practitioner | 161 Fort Evans Rd Ne, Suite 320, Leesburg, VA 20176-3369 | 2013-09-09 |
| Find all providers in LEESBURG | ||||
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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.