STACY FULLER (NPI# 1376909333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376909333 |
| Entity Type | Individual |
| Full Name | STACY FULLER |
| Credential | DC |
| Practice Address |
300 W 80th Pl Ste A Merrillville IN 46410 |
| Mailing Address |
2406 Nottingham Dr Valparaiso IN 46383-9181 |
| Practice Telephone | 2195883476 |
| Mailing Telephone | 2195883476 |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2019-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 08002869A | IN | Chiropractic Providers |
| Street Address |
300 W 80TH PL STE A |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386241958 | Momsense, Inc. | Speech-Language Pathologist | 300 W 80th Pl Ste A, Merrillville, IN 46410-5476 | 2020-10-06 |
| 1215587860 | Katie A Beeson | Registered Nurse | 300 W 80th Pl Ste A, Merrillville, IN 46410-5476 | 2019-09-16 |
| 1093368375 | Jean Racquel Krause | Registered Nurse | 300 W 80th Pl Ste A, Merrillville, IN 46410-5476 | 2019-07-16 |
| 1265095780 | Momsense, Inc. | Nurse Practitioner | 300 W 80th Pl Ste A, Merrillville, IN 46410-5476 | 2019-04-19 |
| 1245793793 | Inspired Health LLC | Clinic/Center | 300 W 80th Pl Ste A, Merrillville, IN 46410-5476 | 2019-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386920726 | Nwi Wellness Center LLC | Chiropractor | 6505 Broadway, Merrillville, IN 46410-3009 | 2011-10-31 |
| 1891076881 | Jaclyn Renee Stitt | Chiropractor | 6094 Jefferson St, Merrillville, IN 46410-2528 | 2011-09-02 |
| 1649503442 | Broadway Neck and Back, Inc | Chiropractor | 5437 Broadway, Merrillville, IN 46410-1647 | 2009-09-10 |
| 1619106341 | True Health Chiropractic and Rehabilitation | Chiropractor | 2614 W Lincoln Hwy, Merrillville, IN 46410-5235 | 2009-07-02 |
| 1952571945 | Manuel Kazanas | Chiropractor | 8045 Cleveland Pl, Merrillville, IN 46410-5303 | 2008-03-05 |
| 1437350964 | Jeremy Michael Turley | Chiropractor | 8913 Broadway, Merrillville, IN 46410-7039 | 2007-05-31 |
| 1538381793 | Kauffman Chiropractic | Chiropractor | 100 W. 84th Drive, Merrillville, IN 46410-6242 | 2007-05-03 |
| 1568521482 | Manuel Kazanas Dc PC | Chiropractor | 8045 Cleveland Place, Merrillville, IN 46410-5303 | 2006-12-06 |
| 1174533426 | Team Physicians of Indiana | Chiropractor | 403 W 81st Ave, Merrillville, IN 46410-5317 | 2006-08-09 |
| 1366459158 | Robert H Kauffman | Chiropractor | 100 W 84th Dr, Merrillville, IN 46410-6242 | 2006-08-02 |
| Find all providers in MERRILLVILLE | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
Please comment or provide details below to improve the information on STACY 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.