MRS. LISA MARIE FULLER (NPI# 1093838781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093838781 |
| Entity Type | Individual |
| Full Name | MRS. LISA MARIE FULLER |
| Credential | BS |
| Practice Address |
211 Blanchard Mountain View AR 72560 |
| Practice Telephone | 8702698100 |
| Mailing Telephone | 8702698100 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| 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 |
|---|---|---|---|---|
| 1457958746 | Lisa Ellen Fuller | Nutritionist | 3802 Sevierville Pike # 2, Knoxville, TN 37920-4551 | 2020-10-08 |
| 1801246210 | Lisa Fuller | Registered Nurse | 25 Laurie Ln, Bridgewater, MA 02324-3539 | 2016-06-16 |
| 1942441092 | Lisa Marie Fuller | Occupational Therapist | 9854 S 43rd Pl, Phoenix, AZ 85044-7528 | 2009-03-19 |
| 1609899947 | Lisa Joy Fuller | Optometrist | 505 Retail Way Ste 118, Louisburg, NC 27549-6480 | 2006-07-26 |
| 1407407372 | Lisa Barry Fuller | Counselor | 1672 Columbia Hwy, Dothan, AL 36303-5434 | 2019-09-23 |
| 1265927057 | Lisa Ann Fuller | Nurse Practitioner | 8033 Ray Mears Blvd, Knoxville, TN 37919-5458 | 2018-06-25 |
| 1215430871 | Lisa Fuller | Physical Therapist | 1375 N Main St, Lapeer, MI 48446-1350 | 2018-03-09 |
| 1760847461 | Lisa Fuller | Registered Nurse | 1600 E Broadway, Columbia, MO 65201-5844 | 2015-12-22 |
| 1932531928 | Lisa Fuller | Nurse Practitioner | 2410 Boonville Rd, Bryan, TX 77808-2226 | 2013-08-01 |
| 1366567398 | Lisa L Fuller | Preventive Medicine | 1720 W Southern Ave, Suite B1-b6, Mesa, AZ 85202-4834 | 2007-03-20 |
| Street Address |
211 BLANCHARD |
| City | MOUNTAIN VIEW |
| State | AR |
| Zip Code | 72560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992078935 | Heidi Michelle Rutledge | Case Manager/Care Coordinator | 211 Blanchard, Mountain View, AR 72560 | 2012-02-22 |
| 1174847222 | Stacy Jo Isbell | Social Worker | 211 Blanchard, Mountain View, AR 72560 | 2010-03-18 |
| 1689855702 | Kevin Richard Hicks | Case Manager/Care Coordinator | 211 Blanchard, Mountain View, AR 72560-0492 | 2007-11-16 |
| 1215146162 | Iretha Stewart | Case Manager/Care Coordinator | 211 Blanchard, Mountain View, AR 72560-0000 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979781 | Creoks Mental Health Services, Inc | Clinic/Center | 301 Industrial Road, Mountain View, AR 72560 | 2020-07-14 |
| 1194377861 | John Randolph Crone II | Physical Therapist | 103 Mountain Place Drive, Mountain View, AR 72560 | 2019-07-12 |
| 1154898161 | Candace Casey Lane | Physical Therapy Assistant | 260 Hickory Circle, Mountain View, AR 72560 | 2018-10-29 |
| 1780102210 | Janet Karen Watkins | Developmental Therapist | 1810 Ozarka College Drive, Mountain View, AR 72560 | 2017-09-05 |
| 1861928038 | Jason Nope | Registered Nurse | 217 Brewer Avenue, Mountain View, AR 72560 | 2017-05-10 |
| 1013377415 | Charles Grinder | Nurse Practitioner | 102 Mountain Place Dr Ste C, Mountain View, AR 72560 | 2016-02-26 |
| 1912365982 | Baxter Regional Health System | Family Medicine | 102 Mountain Place Drive, Suite C, Mountain View, AR 72560 | 2016-02-05 |
| 1790142859 | Baxter Regional Health System | Nurse Practitioner | 803 W Main St., Mountain View, AR 72560 | 2016-01-20 |
| 1518337732 | Beverly Clark | Nurse Practitioner | 803 West Main Street, Mountain View, AR 72560 | 2015-09-30 |
| 1447503941 | Mitchell's Main Street Pharmacy, Inc | Pharmacy | 214 East Main St, Mountain View, AR 72560 | 2012-10-22 |
| Find all providers in zip 72560 | ||||
| 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 |
|---|---|---|---|---|
| 1639525702 | Alliance Case Management | Case Manager/Care Coordinator | 657 Parkway Dr., Mountain View, WY 82939 | 2016-05-09 |
| 1952651853 | Keshia Ann Iorg | Case Manager/Care Coordinator | 3077 County Rd. 241, Mountain View, WY 82939-0966 | 2012-09-18 |
| 1861756991 | Gladys Gudino | Case Manager/Care Coordinator | 631 Mariposa Ave, Apt 1, Mountain View, CA 94041-1870 | 2012-07-04 |
| 1609175405 | Sandra Lee Jones | Case Manager/Care Coordinator | 210 Riverbend Drive, Mountain View, WY 82939 | 2011-03-18 |
| 1184922007 | Jeffery La Von Walker | Case Manager/Care Coordinator | 210 Riverbend Dr., Mountain View, WY 82939 | 2011-03-01 |
| 1548599970 | Susan Parkinson | Case Manager/Care Coordinator | 3284 Aspen Lane, Box 969, Mountain View, WY 82939 | 2009-12-14 |
| 1215143201 | Tonya Robey | Case Manager/Care Coordinator | 417 N Peabody Ave, Mountain View, AR 72560-6018 | 2007-05-15 |
| 1548302029 | Frances Flener | Case Manager/Care Coordinator | 211 Blanchard Avenue, Mountain View, AR 72560 | 2007-02-13 |
| 1063038404 | Laken Powell | Case Manager/Care Coordinator | 218 Dogwood Hollow Rd, Mountain View, AR 72560-7942 | 2020-06-22 |
| 1508492265 | William Sherman | Case Manager/Care Coordinator | 218 Dogwood Hollow Rd, Mountain View, AR 72560-7942 | 2020-03-13 |
| Find all providers in MOUNTAIN VIEW | ||||
| City | MOUNTAIN VIEW |
| Zip Code | 72560 |
Please comment or provide details below to improve the information on MRS. LISA MARIE FULLER.
| 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.