DR. HEATHER J. FULLERTON (NPI# 1508916107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508916107 |
| Entity Type | Individual |
| Full Name | DR. HEATHER J. FULLERTON |
| Credential | MD |
| Practice Address |
505 Parnassus Ave San Francisco CA 94143-2204 |
| Mailing Address |
1635 Divisadero St Ste 625 Box 1821 San Francisco CA 94143-0001 |
| Practice Telephone | 4153533681 |
| Mailing Telephone | 4154764029 |
| Mailing Fax Number | 4154764150 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A67954 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A679540 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033264189 | Heather D Fullerton | Speech-Language Pathologist | 810 E 21st St Ste 6, Clovis, NM 88101-4442 | 2007-01-25 |
| 1457379802 | Heather Denkhaus Fullerton | Physical Medicine & Rehabilitation | 302 University Blvd, Round Rock, TX 78665-1032 | 2006-07-17 |
| Street Address |
505 PARNASSUS AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94143-2204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962490847 | Jane O Kim | Pharmacist | 505 Parnassus Ave, San Francisco, CA 94143-2206 | 2005-10-13 |
| 1265033039 | Matthew Aldred | Anesthesiology | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2020-11-06 |
| 1992306104 | Virginie Sbeghen | Anesthesiology | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2020-11-04 |
| 1033717194 | Ana Cecilia Trejo | Nurse Practitioner | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2020-10-12 |
| 1093312316 | Rachel Brittany Osborne | Nurse Practitioner | 505 Parnassus Ave, Box #: 0103, San Francisco, CA 94143 | 2020-10-08 |
| 1134736143 | Caranina Elizabeth Palomino | Registered Nurse | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2020-09-24 |
| 1366057002 | Ariel Joves | Nurse Practitioner | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2020-09-10 |
| 1528672052 | Sarah Nicole Katz | Nurse Practitioner | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2020-09-02 |
| 1437763091 | Theresa Chappell | Nurse Practitioner | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2020-09-01 |
| 1790399574 | Weston Wynne Ernst | Nurse Practitioner | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2020-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909024 | Ana Chow | Social Worker | Ucsf - Benioff Children's Hospital, 1975 4th St, San Francisco, CA 94143 | 2020-07-13 |
| 1801413828 | Caroline Eilbeck Casey | Social Worker | 1975 4th Street, San Francisco, CA 94143 | 2020-06-26 |
| 1124642251 | Grace Kibuule | Student in an Organized Health Care Education/Training Program | 513 Parnassus Ave., S455, San Francisco, CA 94143 | 2020-06-04 |
| 1003436528 | Christian Karl Antonio | Nurse Practitioner | 505 Parnassus Avennue, San Francisco, CA 94143 | 2020-04-24 |
| 1144859752 | Reginald Nguyen | Student in an Organized Health Care Education/Training Program | 505 Parnassus Avenue, Room M24, San Francisco, CA 94143 | 2020-04-06 |
| 1851929830 | Jonathan Earl Freise | Student in an Organized Health Care Education/Training Program | Ucsf Department of Surgery, 513 Parnassus Ave, S321, San Francisco, CA 94143 | 2020-03-27 |
| 1275160046 | Sang Minh Nguyen | Student in an Organized Health Care Education/Training Program | 550-16th Street, Mission Hall, 4th Floor, San Francisco, CA 94143 | 2020-03-23 |
| 1780239954 | Rishabh Pravin Acharya | Dentist | 707 Parnassus Avenue, D-4000, San Francisco, CA 94143 | 2019-08-05 |
| 1306307442 | Kayla Zamora | Student in an Organized Health Care Education/Training Program | 550-16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 | 2019-03-30 |
| 1730649021 | Elizabeth Larken Burch | Student in an Organized Health Care Education/Training Program | Univerisity of California San Francisco 550 16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 | 2019-03-22 |
| Find all providers in zip 94143 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740598242 | Margo M. Leahy | Psychiatry & Neurology | 1902 Webster St., San Francisco, CA 94115 | 2010-09-17 |
| 1225223936 | Omid Jeff Naim | Psychiatry & Neurology | 76 Parnassus Ave, San Francisco, CA 94117-4343 | 2007-09-06 |
| 1427178789 | John Michael Jemerin | Psychiatry & Neurology | 1700 Pierce St Ste 403, San Francisco, CA 94115-6116 | 2007-03-30 |
| 1891899183 | Robin Ricardo Randall | Psychiatry & Neurology | 1801 Vicente Street, The Edgewood Center for Children and Families, San Francisco, CA 94116-2923 | 2006-09-08 |
| 1700989308 | Minnette B. Murphy | Psychiatry & Neurology | 1001 Potrero, San Francisco, CA 94110 | 2006-09-07 |
| 1639152598 | Robert Hendren | Psychiatry & Neurology | 401 Parnassus Ave, San Francisco, CA 94143-0984 | 2005-11-23 |
| 1043788953 | Masonic Homes of California | Psychiatry & Neurology | 6 Funston Ave, San Francisco, CA 94129-1109 | 2018-11-08 |
| 1356756910 | Pacific Integrative Medicine, Inc. | Psychiatry & Neurology | 383 Rhode Island St, Suite 201, San Francisco, CA 94103-5177 | 2014-06-23 |
| 1073832903 | Jessica Plauche | Psychiatry & Neurology | 1001 Potrero Ave, Department of Psychiatry, San Francisco, CA 94110-3518 | 2010-05-17 |
| 1215253000 | Karen Finch | Psychiatry & Neurology | 3801 3rd St Ste 400, San Francisco, CA 94124-1409 | 2010-04-19 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94143 |
Please comment or provide details below to improve the information on DR. HEATHER J. FULLERTON.
| 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.