STEPHEN FULLER (NPI# 1104217033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104217033 |
| Entity Type | Individual |
| Full Name | STEPHEN FULLER |
| Credential | LMP |
| Practice Address |
22021 7th Ave S Suite 3 Des Moines WA 98198-6218 |
| Practice Telephone | 2064292782 |
| Mailing Telephone | 2064292782 |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-02-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60015141 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649324716 | Stephen Fuller | Chiropractor | 2026 S Washington St, Amarillo, TX 79109 | 2007-01-23 |
| 1790107720 | Stephen Keith Fuller | Counselor | 319 Park St, Plainwell, MI 49080-1655 | 2014-01-10 |
| 1699022194 | Stephen A Fuller | Pharmacist | 167 North Main Street, Tuba City, AZ 86045-0600 | 2012-08-14 |
| 1275828477 | Stephen Weldon Fuller | Pharmacist | 1706 W Innes St, Salisbury, NC 28144-2552 | 2011-06-15 |
| 1093986572 | Stephen Fuller | Orthopaedic Surgery | 16001 Quarry Rd, Lake Oswego, OR 97035-3359 | 2008-03-12 |
| 1003802638 | Stephen C Fuller | Family Medicine | 3916 N Intertech Ct, Appleton, WI 54913 | 2005-09-20 |
| Street Address |
22021 7TH AVE S SUITE 3 |
| City | DES MOINES |
| State | WA |
| Zip Code | 98198-6218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194273367 | Lisa Adams | Occupational Therapy Assistant | 933 S 262nd Pl, Des Moines, WA 98198 | 2016-09-16 |
| 1356894125 | Melissa Pearson | Nurse Practitioner | 1826 S 250th Pl, Des Moines, WA 98198 | 2016-07-28 |
| 1528432010 | Sea-mar Community Health Center | Dentist | 2781 South 242nd St, Seattle, WA 98198 | 2015-11-20 |
| 1578944864 | Alexander Stephen Topor | Dentist | 26401 Pacific Hwy S.#201, Des Moines, WA 98198 | 2015-06-12 |
| 1942699301 | Sunshine Luzano Yap | Occupational Therapy Assistant | 23600 Marine View Dr. S., Des Moines, WA 98198 | 2015-01-22 |
| 1326481136 | Mylinh Nguyen | Pharmacist | 21615 Pacific Highway So., Des Moines, WA 98198 | 2013-04-10 |
| 1922351527 | Healthpoint | Clinic/Center | 26401 Pacific Hwy S., Suite 101, Des Moines, WA 98198 | 2012-10-19 |
| 1326316142 | Sea-mar Community Health Center | Clinic/Center | 2781 S 242nd St, Des Moines, WA 98198 | 2011-12-07 |
| 1023318615 | Andrew Francis Torres | Physical Therapy Assistant | 2800 South 224th St., Des Moines, IA 98198 | 2010-10-28 |
| 1194032896 | Brigitte Rey Wagner | Physical Therapy Assistant | 815 S 216th St, Wesley Home, Des Moines, WA 98198 | 2010-09-02 |
| Find all providers in zip 98198 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849775 | Phyll Eier | Massage Therapist | 22315 6th Ave S Unit B303, Des Moines, WA 98198-6861 | 2020-10-17 |
| 1467059931 | Brittney Nicole Piepenbrink | Massage Therapist | 2937 E Washington Ave, Des Moines, IA 50317-8648 | 2020-10-07 |
| 1932716982 | Safiyah S Grace | Massage Therapist | 1251 Keosauqua Way, Des Moines, IA 50309-1013 | 2020-09-24 |
| 1336675065 | Ashley Briana Wood | Massage Therapist | 21413 15th Ave S, Des Moines, WA 98198-3129 | 2017-05-01 |
| 1609116482 | Melissa Yleana Padilla | Massage Therapist | 26119 14th Pl S, Des Moines, WA 98198-9119 | 2013-02-15 |
| 1346533692 | Debra Meshel Tietjen | Massage Therapist | 23707 13th Ln S, Unit 1204, Des Moines, WA 98198-7479 | 2011-05-19 |
| 1841581766 | Shannon Rayann Allen | Massage Therapist | 2925 Se 9th St, Des Moines, IA 50315-2065 | 2011-04-26 |
| 1619281946 | Emma Guevarra Vasquez | Massage Therapist | 21011 41st Pl S Apt E301, Des Moines, WA 98198-4275 | 2010-07-28 |
| 1578886115 | Tarynn Eileen Playle | Massage Therapist | 22014 7th Ave S, Suite 106, Des Moines, WA 98198-6235 | 2010-03-10 |
| 1235464736 | Gloria Ann Proctor | Massage Therapist | 22201 Marineview Drive S, Des Moines, WA 98198-0244 | 2009-10-16 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 98198 |
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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.