DR. COURTNEY FULLER (NPI# 1417160755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417160755 |
| Entity Type | Individual |
| Full Name | DR. COURTNEY FULLER |
| Credential | M.D. |
| Practice Address |
160 Allen St Rutland VT 05701-4560 |
| Practice Telephone | 8027473602 |
| Practice Fax Number | 8027473847 |
| Mailing Telephone | 8027473602 |
| Mailing Fax Number | 8027473847 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 042.0011369 | VT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568000909 | Courtney Fuller | Behavior Technician | 1563 Kingsley Ave Ste 103, Orange Park, FL 32073-4503 | 2019-12-17 |
| 1578953519 | Courtney Stone Fuller | Physical Therapist | 916 Loganville Hwy, Ste 1130, Bethlehem, GA 30620-2144 | 2015-01-29 |
| 1083950729 | Courtney Fuller | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2012-12-28 |
| 1538416623 | Courtney Midgette Fuller | Pharmacist | 2621 Grove Ave, Retreat Doctors' Hospital Pharmacy, Richmond, VA 23220-4308 | 2012-08-08 |
| 1437437464 | Courtney Carole Fuller | Registered Nurse | 8104 County Road 6500, Lubbock, TX 79416-9557 | 2011-07-25 |
| Street Address |
160 ALLEN ST |
| City | RUTLAND |
| State | VT |
| Zip Code | 05701-4560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821083650 | Melbourne Duncan Boynton | Specialist | 160 Allen St, Rutland, VT 05701-4560 | 2005-09-19 |
| 1992305395 | Katie Parker | Registered Nurse | 160 Allen St, Rutland, VT 05701-4560 | 2020-10-27 |
| 1194334847 | Michelle Hoffman | Counselor | 160 Allen St, Rutland, VT 05701-4560 | 2020-07-29 |
| 1164047981 | Catherine Yakunovich | Social Worker | 160 Allen St, Rutland, VT 05701-4560 | 2020-06-09 |
| 1518512193 | Michele Denise Pilz | Counselor | 160 Allen St, Rutland, VT 05701-4560 | 2019-08-09 |
| 1346703360 | Danielle M Robillard | Nurse Practitioner | 160 Allen St, Rutland, VT 05701-4560 | 2019-04-08 |
| 1750895827 | Kathleen O'hara | Speech-Language Pathologist | 160 Allen St, Rutland, VT 05701-4560 | 2017-11-27 |
| 1568982353 | Jeffrey Spencer | Physician Assistant | 160 Allen St, Rutland, VT 05701 | 2017-06-22 |
| 1518492560 | Emily Feinberg | Physician Assistant | 160 Allen St, Rutland, VT 05701-4560 | 2017-04-27 |
| 1972038305 | Ella Obrosky | Nurse Anesthetist, Certified Registered | 160 Allen St, Rutland, VT 05701-4560 | 2017-04-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639721186 | All Dimensions Primary Care Pllc | Physician Assistant | 92 Allen Street, Rutland, VT 05701 | 2019-07-15 |
| 1962809053 | Laura Kalinen Laprise | Nurse Practitioner | Rutland Community Health Center, 215 Stratton Road, Rutland, VT 05701 | 2014-12-04 |
| 1962818781 | Andrea Louise Welch | Pharmacist | 1 Rutland Shopping Plaza, Rutland, VT 05701 | 2014-07-02 |
| 1396158903 | Gwendolyn Koenig | Counselor | 78 South Main St., Rutland, VT 05701 | 2014-06-11 |
| 1194088195 | Marcie Bouchard | Early Intervention Provider Agency | 24a East Street, Rutland, VT 05701 | 2012-06-25 |
| 1790047009 | Pamela Lenoci | Massage Therapist | 196 Joshua Place, Rutland, VT 05701 | 2012-06-12 |
| 1528339959 | Deborah E. Boston | Social Worker | 128 Merchants Row Ste 510, Rutland, VT 05701 | 2012-01-17 |
| 1235431834 | Alicia Marie Riesterer | Occupational Therapy Assistant | 46 Nichols St., Rutland Healthcare and Rehabilitation Center, Rutland, VT 05701 | 2010-12-02 |
| 1497085401 | Lauren Ann Lasante | Counselor | 198 N Main St Ste C-5, Rutland, VT 05701 | 2010-01-14 |
| 1568692515 | Steven C. Duboff, Dmd, PC | Dentist | 198 North Main St, Rutland, VT 05701 | 2009-07-23 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104850171 | Roberto B. Abeyta | Emergency Medicine | 9 Dugway Rd, Rutland, VT 05701-9819 | 2006-07-10 |
| 1245681725 | Nicholas M Cox | Emergency Medicine | 160 Allen St, Rutland, VT 05701-4560 | 2016-06-27 |
| 1477935302 | Joseph Ray Giles | Emergency Medicine | 160 Allen St, Rutland, VT 05701-4560 | 2015-06-27 |
| 1629496765 | Robert Rivard | Emergency Medicine | 160 Allen St, Rutland, VT 05701-4560 | 2014-04-05 |
| 1598025892 | Ryan Alexander Brass | Emergency Medicine | 160 Allen St, Rutland, VT 05701-4560 | 2012-05-21 |
| 1770874885 | Sarah M Rich | Emergency Medicine | 160 Allen St, Rutland, VT 05701-4560 | 2011-04-23 |
| 1508155060 | Joshua Lee Harris | Emergency Medicine | 160 Allen St, Rutland, VT 05701-4560 | 2011-04-05 |
| 1922325133 | Chad Michael Lindroos | Emergency Medicine | 160 Allen St, Rutland, VT 05701-4560 | 2010-04-27 |
| 1629244892 | Eric Daniel Rosenthal | Emergency Medicine | 160 Allen St, Rutland Regional Medical Center- Emergency Medicine, Rutland, VT 05701-4560 | 2008-05-07 |
| 1922293430 | Elana Svoren | Emergency Medicine | 160 Allen St, Rutland, VT 05701-4560 | 2007-09-07 |
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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.