KATHERINE H FULLER (NPI# 1235247131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235247131 |
Entity Type | Individual |
Full Name | KATHERINE H FULLER |
Credential | RN |
Practice Address |
750 North 200 West Provo UT 84601 |
Practice Telephone | 8013734760 |
Practice Fax Number | 8013730639 |
Mailing Telephone | 8013734760 |
Mailing Fax Number | 8013730639 |
Enumeration Date | 2006-08-29 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
1864853102 | UT | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528453420 | Katherine Fuller | Student in an Organized Health Care Education/Training Program | 750 W Ashby Rd, Brierfield, AL 35035-3437 | 2015-03-30 |
1407068281 | Katherine Angel Fuller | Social Worker | 1785 W Stadium Blvd Ste 201c, Ann Arbor, MI 48103-5291 | 2007-05-04 |
1215408810 | Katherine S Fuller | Physical Therapist | 1700 Leonard St Ne, Grand Rapids, MI 49505-5636 | 2018-12-09 |
1669953634 | Katherine L Fuller | Audiologist | 144 Concord Rd, Knoxville, TN 37934-2901 | 2018-08-27 |
Street Address |
750 NORTH 200 WEST |
City | PROVO |
State | UT |
Zip Code | 84601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386600450 | Juergen Erich Korbanka | Psychologist | 750 North 200 West, Provo, UT 84601 | 2006-04-26 |
1497198691 | Kelllie Jo Mcintyre | Marriage & Family Therapist | 750 North 200 West, Provo, UT 84601 | 2013-04-08 |
1689972887 | Charles Joseph Stuart Iv | Case Manager/Care Coordinator | 750 North 200 West, Suite 300, Provo, UT 84601 | 2011-03-11 |
1740588110 | Jocelyn De Corte | Student in an Organized Health Care Education/Training Program | 750 North 200 West, Suite 300, Provo, UT 84601 | 2011-03-08 |
1295818557 | Ned Nelson Campbell Jr. | Social Worker | 750 North 200 West, Provo, UT 84601 | 2006-10-23 |
1639266430 | Catherine M Johnson | Social Worker | 750 North 200 West, Provo, UT 84601 | 2006-10-05 |
1326146663 | Brian Wayne Butler | Social Worker | 750 North 200 West, Provo, UT 84601 | 2006-09-20 |
1326146689 | Richard Eugene Shanteau | Psychiatry & Neurology | 750 North 200 West, Provo, UT 84601 | 2006-09-20 |
1801994140 | Brittany Lisle | Social Worker | 750 North 200 West, Provo, UT 84601 | 2006-09-20 |
1144328204 | Elizabeth Lewin - Shepley | Social Worker | 750 North 200 West, Provo, UT 84601 | 2006-09-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902378417 | 1 Assist Care of Utah Valley LLC | In Home Supportive Care | 180 N University Avenue, Suite 270, Office 213, Provo, UT 84601 | 2018-12-21 |
1346723319 | Mp Dental LLC | Dentist | 777 N. 500 W. #204, Proud, UT 84601 | 2018-09-14 |
1326530601 | Madison Paige Nelson | Case Manager/Care Coordinator | 750 N Freedom Blvd., Provo, UT 84601 | 2018-06-03 |
1245758861 | Annette Roylance | Case Manager/Care Coordinator | 750 North Freedom Boulevard, Suite 300, Provo, UT 84601 | 2017-09-04 |
1912422205 | Alexandra Mcbride | Specialist/Technologist | 35 N 300 W #440, Provo, UT 84601 | 2017-08-07 |
1932638293 | Audrey Clara Clifton | Case Manager/Care Coordinator | 750 North Freedom Blvd., Provo, UT 84601 | 2017-06-08 |
1528514197 | Joseph Hyrum Lewis | Case Manager/Care Coordinator | 750 Freedom Blvd, Provo, UT 84601 | 2016-09-01 |
1629427620 | Walker Clements | Case Manager/Care Coordinator | 750 North Freedom Blvd, Provo, UT 84601 | 2016-06-09 |
1447611595 | Robert Shirley | Student in an Organized Health Care Education/Training Program | 750 North 200 West, Provo, Ut 84601., Provo, UT 84601 | 2016-03-17 |
1700286283 | Brelynn Downs | Student in an Organized Health Care Education/Training Program | 750 North Freedom Blvde, Provo, UT 84601 | 2014-09-03 |
Find all providers in zip 84601 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255968681 | Tiffani Petersen | Registered Nurse | 1034 N 500 W, Provo, UT 84604-3380 | 2020-03-25 |
1851934707 | Vicky Suruky | Registered Nurse | 4501 N University Ave, Provo, UT 84604-5504 | 2019-10-23 |
1962961136 | Kristine Wisdom | Registered Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2019-03-18 |
1043723125 | Mindy Anne Spencer | Registered Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2017-11-10 |
1972015675 | Lisa Marion Sladyk | Registered Nurse | 1161 E 300 N, Provo, UT 84606-3539 | 2017-11-02 |
1376065375 | Natalie Clark | Registered Nurse | 750 N Freedom Blvd # 200w, Provo, UT 84601-1677 | 2017-07-11 |
1104366558 | Melanie Winsor | Registered Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2017-03-06 |
1063962140 | Gary Webb | Registered Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2016-10-12 |
1912369679 | Rosemary Parson | Registered Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2016-03-22 |
1386005569 | Brittany Antoine | Registered Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2016-03-15 |
Find all providers in PROVO |
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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.