MICHAEL FULLER (NPI# 1376027508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376027508 |
| Entity Type | Individual |
| Full Name | MICHAEL FULLER |
| Practice Address |
3284 N Bend Rd Ste 108 Cincinnati OH 45239-7688 |
| Practice Telephone | 5133899111 |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013577667 | Michael Fuller | Licensed Practical Nurse | 1539 Cuba Rd, Mayfield, KY 42066-6809 | 2019-06-17 |
| 1144638594 | Michael Fuller | Counselor | 777 Silver Oak Dr Apt D117, Carson City, NV 89706-1908 | 2014-07-30 |
| 1568777811 | Michael Eugene Fuller | Counselor | 1743 Gay Dr, Orlando, FL 32803-1914 | 2010-08-11 |
| 1972816221 | Michael Daniel Fuller | Dentist | 7760 W Voice of America Park Dr Ste A, West Chester, OH 45069-3371 | 2010-07-15 |
| 1245461300 | Michael Fuller | Chiropractor | 1143 Kildaire Farms Rd, Cary, NC 27511-4563 | 2009-08-06 |
| 1972519049 | Michael Fuller | Dentist | 7650 Currell Blvd Ste 200, Woodbury, MN 55125-8209 | 2006-07-31 |
| 1881218303 | Michael Fuller | Health Educator | 3411 Division Dr, West Plains, MO 65775-5789 | 2020-06-01 |
| 1609498302 | Michael L Fuller | Psychologist | 205 N 7th St, Zanesville, OH 43701-3791 | 2020-05-15 |
| 1780044586 | Michael Fuller | General Practice | 6490 Main St, Ste 1, Williamsville, NY 14221-5853 | 2016-03-07 |
| 1083084115 | Michael Fuller | Counselor | 1100 N D St, San Bernardino, CA 92410-3524 | 2015-10-01 |
| Street Address |
3284 N BEND RD STE 108 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45239-7688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285292672 | Kearia Hallums | Case Manager/Care Coordinator | 3284 N Bend Rd Ste 108, Cincinnati, OH 45239-7688 | 2019-05-31 |
| 1811462443 | Garrison Jester | Case Manager/Care Coordinator | 3284 N Bend Rd Ste 108, Cincinnati, OH 45239-7688 | 2018-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003312786 | Personal Companions Home Care LLC | Home Health | 6225 Colerain Ave Ste C, Cincinnati, OH 45239 | 2018-04-02 |
| 1447769047 | Divine Destiny Home Care Agency | In Home Supportive Care | 6625 New Bridge Dr., Cincinnati, OH 45239 | 2017-09-26 |
| 1063939262 | Alexandra Cunningham | Registered Nurse | 5730 Colerain Ave., Cincinnati, OH 45239 | 2017-08-28 |
| 1598289803 | Jeanise D Randolph | Case Manager/Care Coordinator | 3425 North Bend Suite F, Cincinnati, OH 45239 | 2017-07-28 |
| 1407385925 | Odessey Residential Homes LLC | Assisted Living Facility | 8240 Pippin Rd, Cincinnati, OH 45239 | 2017-06-08 |
| 1841727625 | Danita Marie White | Counselor | 5887 Montfort Hills Ave. #3, Cincinnati, OH 45239 | 2017-05-11 |
| 1801249867 | Regina Gullette | Counselor | 5980 Colerain Ave, 36, Cincinnati, OH 45239 | 2016-07-14 |
| 1811393051 | Angela Bien | Psychologist | 3420 Banning Road, Cincinnati, OH 45239 | 2014-11-17 |
| 1568895076 | Shavonne Noble | Registered Nurse | 1830 Sundale Ave, Cincinnati, OH 45239 | 2013-08-20 |
| 1609216613 | Eusebio Tiu Gaw | Surgery | 3515 Banning Rd., Cincinnati, OH 45239 | 2013-07-05 |
| Find all providers in zip 45239 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860588 | Corey Allison | Case Manager/Care Coordinator | 312 Glenmore Ave. Ste 14, Cincinnati, OH 45238 | 2020-10-29 |
| 1679170518 | Keana Eakins | Case Manager/Care Coordinator | 432 Ray Norrish Dr Ste B, Cincinnati, OH 45246-1520 | 2020-10-05 |
| 1992318596 | Janelle Selina Hocker | Case Manager/Care Coordinator | 3439 Knott St, Cincinnati, OH 45229-3109 | 2020-08-25 |
| 1215547450 | Erica Tivis | Case Manager/Care Coordinator | 2711 E Tower Dr Apt 108, Cincinnati, OH 45238-2655 | 2020-08-03 |
| 1629696687 | Albert Antonio Bailey Jr. | Case Manager/Care Coordinator | 432 Ray Norrish Dr # B, Cincinnati, OH 45246-1520 | 2020-07-07 |
| 1669005286 | Zachary Nordyke | Case Manager/Care Coordinator | 5880 Winton Ridge Ln, Cincinnati, OH 45232-1121 | 2020-02-21 |
| 1962035717 | Ronda Sue Gadd | Case Manager/Care Coordinator | 4550 Red Bank Rd, Cincinnati, OH 45227-2118 | 2020-02-20 |
| 1659902195 | Keeshon Taylor | Case Manager/Care Coordinator | 3643 Fyffe Ave, Cincinnati, OH 45211-6114 | 2020-02-03 |
| 1194382192 | Lauren Michelle Breadon | Case Manager/Care Coordinator | 4966 Glenway Ave Ste 205, Cincinnati, OH 45238-3917 | 2019-05-24 |
| 1649736000 | Ian A Gentry | Case Manager/Care Coordinator | 3962 Glenmore Ave, Cincinnati, OH 45211-3534 | 2019-02-11 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45239 |
Please comment or provide details below to improve the information on MICHAEL 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.