MEGAN H FULLER (NPI# 1174878516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174878516 |
| Entity Type | Individual |
| Full Name | MEGAN H FULLER |
| Credential | NP |
| Practice Address |
2501 Citico Ave Chattanooga TN 37404-1127 |
| Practice Telephone | 4236972000 |
| Practice Fax Number | 4236972320 |
| Mailing Telephone | 4236972000 |
| Mailing Fax Number | 4236972320 |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2020-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APN16867 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 143573 | 05 | |
| TN | 1530107 | 05 | |
| RR MEDICARE | P01125439 | 01 | |
| TN | BCBS | 4331416 | 01 |
| GA | 003129433C | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2108 E 3rd St, Suite 100, Chattanooga, TN 374042600 | 4232670466 | 4237570770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679043053 | Megan Fuller | Behavior Technician | 11770 Bernardo Plaza Ct Ste 350, San Diego, CA 92128-2426 | 2018-11-28 |
| 1780885202 | Megan Fuller | Surgery | 3401 Civic Center Blvd, Division of Pediatric Surgery, Philadelphia, PA 19104-4319 | 2007-05-31 |
| 1063613214 | Megan C. Fuller | Pediatrics | 226 Medical Plaza Ln, Whitesburg, KY 41858-7425 | 2007-05-29 |
| 1972643609 | Megan Fuller | Counselor | 2535 Kettner Blvd Ste 1a4, San Diego, CA 92101-1252 | 2007-02-08 |
| Street Address |
2501 CITICO AVE |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629077011 | Gordon D Graham | Internal Medicine | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2005-07-18 |
| 1215575113 | Abigail N Burroughs | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2019-12-11 |
| 1730721465 | Cathy C Patty | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2019-10-15 |
| 1447725882 | Damon Pulliam | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2018-10-12 |
| 1962980169 | Gregory A Evans | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2018-07-31 |
| 1467965707 | Josue B Mendoza | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2017-11-08 |
| 1548781156 | Sally W Randall | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2017-07-05 |
| 1225582141 | Corinne Ann Hinson | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2016-08-09 |
| 1073988903 | Enesa Spreco | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2015-12-03 |
| 1396120408 | Joshua Paul Black | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2015-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366054785 | Jamie Renee Slagle | Nurse Practitioner | 6061 Shallowford Rd, Chattanooga, TN 37421-1688 | 2020-08-18 |
| 1699390757 | Lacy E Cushman | Nurse Practitioner | 1622 Mary Dupre Dr, Chattanooga, TN 37421-2538 | 2020-06-14 |
| 1366077539 | Scenic City Neurotherapy and Ketamine Center PC | Nurse Practitioner | 7405 Shallowford Rd Ste 360, Chattanooga, TN 37421-2678 | 2020-03-09 |
| 1740839315 | Emmaline Camille Newman | Nurse Practitioner | 1703 W 54th St, Chattanooga, TN 37409-2011 | 2019-09-06 |
| 1215490230 | Tina Michell Carden | Nurse Practitioner | 2200 E 3rd St Ste 100, Chattanooga, TN 37404-2724 | 2019-04-08 |
| 1922568807 | Twelvestone Infusion Centers LLC | Nurse Practitioner | 6150 Shallowford Rd Ste 102, Chattanooga, TN 37421-7218 | 2019-03-25 |
| 1710453436 | Kelly Gayler | Nurse Practitioner | 1751 Gunbarrel Rd Ste 103, Chattanooga, TN 37421-7162 | 2018-10-20 |
| 1043737976 | Sarah K Olds | Nurse Practitioner | 725 Glenwood Dr Ste 780, Chattanooga, TN 37404-1177 | 2017-08-22 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1457875064 | Riverview Medical Services | Nurse Practitioner | 6148 Lee Highway, Suite 107, Chattanooga, TN 37421 | 2017-07-26 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
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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.