NATHANAEL KEITH FULLER (NPI# 1144583451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144583451 |
| Entity Type | Individual |
| Full Name | NATHANAEL KEITH FULLER |
| Credential | PA |
| Practice Address |
1550 6th Street Manning IA 51455-1004 |
| Mailing Address |
1550 6th St Manning IA 51455-1005 |
| Practice Telephone | 7126552072 |
| Practice Fax Number | 7126553228 |
| Mailing Telephone | 7126552072 |
| Mailing Fax Number | 7126553228 |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2014-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
002297 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033678081 | Nathanael John-caleb Fuller | Student in an Organized Health Care Education/Training Program | 4077 Fifth Ave # Mer35, San Diego, CA 92103-2105 | 2019-03-19 |
| Street Address |
1550 6TH STREET |
| City | MANNING |
| State | IA |
| Zip Code | 51455-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710973391 | Philip L Myer | Family Medicine | 1550 6th Street, Manning, IA 51455-1004 | 2005-09-20 |
| 1922069681 | Douglas G Mclaws | Family Medicine | 1550 6th Street, Manning, IA 51455-1004 | 2006-03-31 |
| 1982690277 | Nancy L Danner | Physician Assistant | 1550 6th Street, Manning, IA 51455-1004 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174061188 | Courtney Rae Rupiper | Physician Assistant | 1550 6th St, Manning, IA 51455 | 2017-02-09 |
| 1912091414 | Jennifer Rae Morris | Pharmacist | 317 Main Street, Manning, IA 51455 | 2006-10-02 |
| 1023577582 | Accura Healthcare of Manning LLC | Skilled Nursing Facility | 410 Main St, Manning, IA 51455 | 2019-03-14 |
| 1467547653 | Robert Allen Stessman | Pharmacist | 317 Main Street, Manning, IA 51455 | 2006-10-04 |
| 1245387844 | Manning Regional Healthcare Center | General Acute Care Hospital | 1550 6th St, Manning, IA 51455-1004 | 2007-01-04 |
| 1821381849 | Isabella A Ahanogbe | Family Medicine | 1550 6th St, Manning, IA 51455-1004 | 2011-05-24 |
| 1528362910 | Manning Regional Healthcare Center | Clinic/Center | 1550 6th St, Manning, IA 51455-1004 | 2010-12-29 |
| 1235432196 | Manning Regional Healthcare Center | Nurse Practitioner | 1550 6th St, Manning, IA 51455-1004 | 2010-12-15 |
| 1306969175 | Manning Regional Healthcare Center | Psychologist | 1550 6th St, Manning, IA 51455-1004 | 2007-04-09 |
| 1467509141 | Manning Regional Healthcare Center | General Acute Care Hospital | 1550 6th St, Manning, IA 51455-1004 | 2007-01-04 |
| Find all providers in zip 51455 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982690277 | Nancy L Danner | Physician Assistant | 1550 6th Street, Manning, IA 51455-1004 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306468434 | Nichole Marie Steffens | Physician Assistant | 2371 County Road B32, Fort Atkinson, IA 52144-7414 | 2020-05-12 |
| 1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
| 1295282325 | Courtney Lowy | Physician Assistant | 3850 Merle Hay Rd Ste 500, Des Moines, IA 50310-1322 | 2016-09-07 |
| 1447641618 | West Broadway Clinic, P.C. | Physician Assistant | 1701 W Broadway, Council Bluffs, IA 51501-3822 | 2015-02-10 |
| 1972858397 | Sarah Beth Nace | Physician Assistant | 2346 Mormon Trek Blvd Ste 1500, Iowa City, IA 52246-4368 | 2012-07-23 |
| 1528313350 | Stephanie Elaine Fangman | Physician Assistant | 709 W Main St Ste 3, Manchester, IA 52057-1526 | 2012-07-18 |
| 1679707947 | Integrative Medicine Consultants, Inc. | Physician Assistant | 507 Main Avenue, Clear Lake, IA 50428 | 2009-05-14 |
| 1992960876 | Cass County Memorial Hospital Rhc | Physician Assistant | 1501 E 10th St Ste 100, Atlantic, IA 50022-1936 | 2008-07-21 |
| 1629265368 | Hannah Joy Lokenvitz | Physician Assistant | 700 2nd St Se Ste 101, Hampton, IA 50441-2655 | 2007-09-26 |
| 1568658532 | Angela K Grundmeyer | Physician Assistant | 1215 Pleasant St Ste 100, Des Moines, IA 50309-1409 | 2007-09-24 |
| 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.