BETH M FULLER (NPI# 1144879792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144879792 |
| Entity Type | Individual |
| Full Name | BETH M FULLER |
| Practice Address |
19 Noble Pl Florida NY 10921-1913 |
| Practice Telephone | 8456514525 |
| Mailing Telephone | 8456514525 |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-09-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
19 NOBLE PL |
| City | FLORIDA |
| State | NY |
| Zip Code | 10921-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730598210 | Jamie Fragale | Specialist | 1755 State Route 17a, Suite 1, Florida, NY 10921 | 2014-08-08 |
| 1245649094 | Wendi Foster Culver | Specialist | 1755 Route 17a, Florida, NY 10921 | 2014-08-06 |
| 1801236328 | Amanda Elizabeth Undersinger | Speech-Language Pathologist | 468 Rt 17a, Florida, NY 10921 | 2013-06-28 |
| 1477894475 | Debra Lynn Charette-ierardi | Case Manager/Care Coordinator | 1751 State Rt 17a, Florida, NY 10921 | 2013-03-15 |
| 1033464854 | Kathleen Mary Thaler | Nurse Practitioner | 21 Edward J. Lempka Drive, Florida, NY 10921 | 2012-07-18 |
| 1336404714 | Melissa G Hoffman | Specialist | 1751 New York State Route 17a, Florida, NY 10921 | 2012-07-11 |
| 1942565692 | Chelsea Viola Collins | Speech-Language Pathologist | 1751 Rte 17 A, Florida, NY 10921 | 2012-07-09 |
| 1487917043 | Susan Parsaons Carsley | Specialist | 1751 Rt 17 A, Florida, NY 10921 | 2012-06-19 |
| 1790048536 | April Beth Castellano | Case Manager/Care Coordinator | 1751 Route 17 A, Florida, NY 10921 | 2012-06-18 |
| 1497020259 | Brooke Gaslow | Speech-Language Pathologist | 1751 Route 17a, Florida, NY 10921 | 2012-03-13 |
| Find all providers in zip 10921 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1649885666 | Carole Jane Pelaia | Technician | 100 Forrestal Hts, Beacon, NY 12508-3733 | 2020-09-15 |
| 1194340950 | Barbara Dore Russell | Technician | 43 Hillsboro Dr, Orchard Park, NY 14127-3433 | 2020-06-08 |
| 1316560105 | Baw Su | Technician | 341 Oliver St, N Tonawanda, NY 14120-7227 | 2020-05-27 |
| 1255953782 | Tina Marie Loucks | Technician | 6294 Fulford Hill Rd, Bath, NY 14810-8156 | 2020-05-06 |
| 1508487240 | Jacqueline Marshall | Technician | 144 South 2nd Avenue 2c, Mount Vernon, West Chester, NY 10550 | 2020-05-05 |
| 1891324240 | Crystal Lynn Booth | Technician | 5510 Fortuna Pkwy, Clay, NY 13041-8929 | 2020-04-07 |
| 1366076788 | Patricia Metznik Garcia | Technician | 1660 S Ivy Trl, Baldwinsville, NY 13027-9051 | 2020-02-25 |
| 1578196549 | Ernesto Murray | Technician | 463 East 178st Apt#3b, Bronx New York, NY 10457 | 2020-02-19 |
| 1588204317 | Jeanie L Phillips | Technician | 1837 Us Highway 11 Lot 34, Marathon, NY 13803-2360 | 2020-01-09 |
| 1568001972 | William B Love | Technician | 2050 Frederick Douglas Blvd #2-10, New York, NY 10026-3236 | 2020-01-02 |
| 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.