KATHERINE H FULLER


Address: 750 North 200 West, Provo, UT 84601
Phone: 8013734760

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
1864853102 UT Nursing Service Providers

Other Providers KATHERINE FULLER

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

Office Location

Street Address 750 NORTH 200 WEST
City PROVO
State UT
Zip Code 84601

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City PROVO
Zip Code 84601

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Dataset Information

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.

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