MRS. COURTNEY CAROLE FULLER (NPI# 1437437464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437437464 |
| Entity Type | Individual |
| Full Name | MRS. COURTNEY CAROLE FULLER |
| Credential | BSN, RN |
| Practice Address |
8104 County Road 6500 Lubbock TX 79416-9557 |
| Practice Telephone | 8067736575 |
| Mailing Telephone | 8067736575 |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2011-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
671297 | TX | Nursing Service Providers |
| 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 |
| 1417160755 | Courtney Fuller | Emergency Medicine | 160 Allen St, Rutland, VT 05701-4560 | 2007-05-07 |
| Street Address |
8104 COUNTY ROAD 6500 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79416-9557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407134448 | Professional Home Detox | Clinic/Center | 8104 County Road 6500, Lubbock, TX 79416-9557 | 2011-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502174 | Jordan Lane Thompson | Pharmacist | 6313 4th Street, Lubbock, TX 79416 | 2020-06-11 |
| 1821636481 | Chieh-an Chou | Specialist/Technologist | 201 N Winston Ave, Lubbock, TX 79416 | 2019-12-13 |
| 1790341949 | Michael Mcpherson, M.d. P.a. | Internal Medicine | 5406 Colgate St, Lubbock, TX 79416 | 2019-05-14 |
| 1154893675 | South Plains Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5406 Colgate Street, Lubbock, TX 79416 | 2018-12-21 |
| 1932697182 | Timothy Sampana | Student in an Organized Health Care Education/Training Program | 5217 Lehigh St, Lubbock, TX 79416 | 2018-04-24 |
| 1306347711 | 4th Street Dental, Pllc | Dentist | 5709 4th St, Lubbock, TX 79416 | 2018-02-22 |
| 1639682503 | South Plains Surgery Center LLC | Clinic/Center | 4412 6th Street, Lubbock, TX 79416 | 2017-11-14 |
| 1013459809 | Isabel Garcia | Occupational Therapy Assistant | 1717 Northfolk Ave, #a, Lubbock, TX 79416 | 2016-11-09 |
| 1033589213 | Rehab Care | Skilled Nursing Facility | 1717 Norfork Ave, Bldg A, Lubbock, TX 79416 | 2015-10-01 |
| 1902281306 | Carrillon | Clinic/Center | 1717 Norfold Bld A, Lubbock, TX 79416 | 2015-07-27 |
| Find all providers in zip 79416 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093544 | Stages of Recovery, Inc | Registered Nurse | 4413 71st St Ste G101, Lubbock, TX 79424-2319 | 2019-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326669532 | Michelle White | Registered Nurse | 357 Dove Creek Rd, Argyle, TX 76226-6360 | 2020-04-28 |
| 1144731357 | Justin Wilder | Registered Nurse | 201 Lavaca St, Austin, TX 78701-3960 | 2017-10-14 |
| 1043651367 | Lakisha Henderson | Registered Nurse | 2619 S. Lancaster Rd, Dallas, TX 75216 | 2013-07-15 |
| 1528373362 | Shelly Guillory | Registered Nurse | 1905 Elder Hill Rd, Driftwood, TX 78619-2102 | 2010-08-17 |
| 1043441074 | Marylyn Renee Harris | Registered Nurse | 6706 Old Oaks Blvd, Pearland, TX 77584-7140 | 2009-08-08 |
| 1619526902 | Us Multispecialty Group | Registered Nurse | 14008 Shadowglen Blvd, Manor, TX 78653-3396 | 2019-09-09 |
| 1902453327 | Emily Lauren Godsey | Registered Nurse | 1510 S Vine Ave, Tyler, TX 75701-2826 | 2019-08-20 |
| 1497310858 | Tanis May Rutherford | Registered Nurse | 13207 Wright Rd, Buda, TX 78610-5000 | 2019-05-01 |
| 1154563419 | Jo Ann Goodie | Registered Nurse | 4112 Austin St, Houston, TX 77004-4813 | 2009-04-01 |
| 1447436050 | Rebekah K Cook | Registered Nurse | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2008-01-14 |
| Find all providers with the same taxonomy | ||||
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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.