JENNIFER FULLER (NPI# 1326529090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326529090 |
| Entity Type | Individual |
| Full Name | JENNIFER FULLER |
| Credential | NP |
| Practice Address |
179 River St Oneonta NY 13820-2239 |
| Mailing Address |
33 Lewis Rd 2nd Fl Binghamton NY 13905 |
| Practice Telephone | 6074328477 |
| Practice Fax Number | 6074323150 |
| Mailing Telephone | 6077298156 |
| Mailing Fax Number | 6077293982 |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
343282 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801386230 | Jennifer Fuller | Counselor | 810a Texas Ave, Alexandria, LA 71301-4829 | 2018-05-10 |
| 1790150084 | Jennifer Fuller | Registered Nurse | 9618 N 36th St, Phoenix, AZ 85028-4938 | 2015-12-11 |
| 1952787046 | Jennifer Fuller | Specialist | 75-5995 Kuakini Hwy Ste 603, Kailua Kona, HI 96740-2124 | 2015-07-31 |
| 1902149933 | Jennifer Carroll Fuller | Otolaryngology | 11234 Anderson St # 2586a, Loma Linda, CA 92354-2804 | 2013-03-27 |
| 1861784571 | Jennifer D Fuller | Counselor | 304 W Baseline Rd, Lafayette, CO 80026-1719 | 2011-05-12 |
| 1831364108 | Jennifer Renee Fuller | Dentist | 334 Livernois St, Ferndale, MI 48220-2302 | 2008-04-28 |
| 1053962647 | Jennifer Fuller | Social Worker | 2652 Spring Arbor Rd, Jackson, MI 49203-3604 | 2019-09-25 |
| 1316501927 | Jennifer Quinn Fuller | Counselor | 7701 N Lamar Blvd Ste 206, Austin, TX 78752-1022 | 2019-04-29 |
| 1538637095 | Jennifer Fuller | Marriage & Family Therapist | 21335 Signal Hill Plz Ste 270, Sterling, VA 20164-5567 | 2018-11-02 |
| 1992186621 | Jennifer Fuller | Behavioral Analyst | 224 Nazareth Pike, Trolley Station Mall Suite 22a, Bethlehem, PA 18020-9080 | 2015-06-18 |
| Street Address |
179 RIVER ST |
| City | ONEONTA |
| State | NY |
| Zip Code | 13820-2239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548265747 | Nicholas W Tarricone | Pediatrics | 179 River St, Oneonta, NY 13820-2239 | 2005-06-15 |
| 1669912275 | Godwin Odumah | Pediatrics | 179 River St, Oneonta, NY 13820-2239 | 2017-03-01 |
| 1275985558 | Douglas Sivers | Nurse Practitioner | 179 River St, Oneonta, NY 13820-2239 | 2016-07-11 |
| 1669802500 | Norie Grant | Nurse Practitioner | 179 River St, Oneonta, NY 13820-2239 | 2013-11-13 |
| 1174880017 | Andrea Denise Hoag | Family Medicine | 179 River St, Oneonta, NY 13820-2239 | 2012-04-17 |
| 1992012702 | Jaspreet Sood | Pediatrics | 179 River St, Oneonta, NY 13820-2239 | 2010-09-01 |
| 1578874459 | Elaine Tsukayama | Pediatrics | 179 River St, Oneonta, NY 13820-2239 | 2010-06-25 |
| 1588791388 | Janelle M Smith | Social Worker | 179 River St, Oneonta, NY 13820-2239 | 2007-02-27 |
| 1093762098 | Kenneth G Lucas | Pediatrics | 179 River St, Oneonta, NY 13820-2239 | 2006-05-27 |
| 1336105691 | Gerald A Landry | Internal Medicine | 179 River St, Oneonta, NY 13820-2239 | 2006-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949162 | Jeffrey Alan Cooke | Nurse Practitioner | 739 State Route 28, Suite 9, Oneonta, NY 13820 | 2020-07-07 |
| 1073072278 | Colleen Marie Cutting | Massage Therapist | 22 Watkins Ave, Suite 102, Oneonta, NY 13820 | 2019-03-18 |
| 1114491925 | Amy Lynne Fletcher-foster | Physical Therapist | 5588 Ny-7, Oneonta, NY 13820 | 2019-01-15 |
| 1114497443 | Cathryn Melissa Hassick | Registered Nurse | 130 East Street, Oneonta, NY 13820 | 2018-11-29 |
| 1043797673 | Shelly Ranae Ashley | Counselor | 242 Main St, Fl 1, Oneonta, NY 13820 | 2018-07-26 |
| 1528561834 | Kaitlin Imperato | Physical Therapist | 5649 Ny-7, Oneonta, NY 13820 | 2018-03-13 |
| 1619413838 | Chloe Zaengle | Occupational Therapist | 1 Norton Avenue, Oneonta, NY 13820 | 2017-01-11 |
| 1508308388 | Amanda Vanburen | Physician Assistant | 739 Nys Rt. 28, Suite 9, Oneonta, NY 13820 | 2016-11-10 |
| 1720477227 | Helaine Rita Feinberg | Speech-Language Pathologist | 105 Campus Drive, Oneonta, NY 13820 | 2015-01-21 |
| 1760808018 | Community Care Physicians, PC | Radiology | One Norton Avenue, Radiology Department Ao Fox Memorial Hospital, Oneonta, NY 13820 | 2014-03-11 |
| Find all providers in zip 13820 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949162 | Jeffrey Alan Cooke | Nurse Practitioner | 739 State Route 28, Suite 9, Oneonta, NY 13820 | 2020-07-07 |
| 1245889997 | Wendy Gregg | Nurse Practitioner | 2022 2nd Ave E, Oneonta, AL 35121-2731 | 2019-09-05 |
| 1164949954 | Lynda Oden Larue | Nurse Practitioner | 150 Gilbreath Dr Ste 201, Oneonta, AL 35121-2827 | 2017-08-23 |
| 1760858674 | Krystyna Koryzma | Nurse Practitioner | 5001 State Highway 23, Oneonta, NY 13820-4508 | 2015-08-14 |
| 1306263934 | Leslie Denise Diodato | Nurse Practitioner | 908 2nd Ave E, Oneonta, AL 35121-2506 | 2014-03-20 |
| 1578988200 | Erica Brewer | Nurse Practitioner | 101 Lemley Drive, Suite A, Oneonta, AL 35121-4631 | 2014-03-05 |
| 1730338633 | Linda Lofrumento | Nurse Practitioner | State Rte 28 Suite # 9, Oneonta, NY 13820-2629 | 2008-09-16 |
| 1841330818 | Maryanne Hidalgo Kehoe | Nurse Practitioner | 1 Birchwood Dr., Catskill Area Hospice and Palliative Care, Oneonta, NY 13820 | 2007-02-07 |
| 1295887628 | Mary Mancuso | Nurse Practitioner | Suny Oneonta Health Services, Ravine Parkway, Oneonta, NY 13820 | 2007-01-17 |
| 1780792002 | Corinne Smith | Nurse Practitioner | One Foxcare Drive Suite103, Oneonta, NY 13820 | 2006-08-27 |
| Find all providers in ONEONTA | ||||
Please comment or provide details below to improve the information on JENNIFER FULLER.
| 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.