JENNIFER C FULLER (NPI# 1538434634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538434634 |
| Entity Type | Individual |
| Full Name | JENNIFER C FULLER |
| Credential | PA |
| Practice Address |
125 Metro Center Boulevard Suite 2000 Warwick RI 02886-1768 |
| Practice Telephone | 4014322500 |
| Practice Fax Number | 4014538220 |
| Mailing Telephone | 4014322500 |
| Mailing Fax Number | 4014538220 |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2019-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA00355 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2097 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9104886 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801386230 | Jennifer Fuller | Counselor | 810a Texas Ave, Alexandria, LA 71301-4829 | 2018-05-10 |
| 1790150084 | Jennifer Fuller | Registered Nurse | 9618 N 36th St, Phoenix, AZ 85028-4938 | 2015-12-11 |
| 1952787046 | Jennifer Fuller | Specialist | 75-5995 Kuakini Hwy Ste 603, Kailua Kona, HI 96740-2124 | 2015-07-31 |
| 1902149933 | Jennifer Carroll Fuller | Otolaryngology | 11234 Anderson St # 2586a, Loma Linda, CA 92354-2804 | 2013-03-27 |
| 1861784571 | Jennifer D Fuller | Counselor | 304 W Baseline Rd, Lafayette, CO 80026-1719 | 2011-05-12 |
| 1831364108 | Jennifer Renee Fuller | Dentist | 334 Livernois St, Ferndale, MI 48220-2302 | 2008-04-28 |
| 1053962647 | Jennifer Fuller | Social Worker | 2652 Spring Arbor Rd, Jackson, MI 49203-3604 | 2019-09-25 |
| 1316501927 | Jennifer Quinn Fuller | Counselor | 7701 N Lamar Blvd Ste 206, Austin, TX 78752-1022 | 2019-04-29 |
| 1538637095 | Jennifer Fuller | Marriage & Family Therapist | 21335 Signal Hill Plz Ste 270, Sterling, VA 20164-5567 | 2018-11-02 |
| 1326529090 | Jennifer Fuller | Nurse Practitioner | 179 River St, Oneonta, NY 13820-2239 | 2018-08-22 |
| Street Address |
125 METRO CENTER BOULEVARD SUITE 2000 |
| City | WARWICK |
| State | RI |
| Zip Code | 02886-1768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598754426 | Richard B Noto | Radiology | 125 Metro Center Boulevard, Suite 2000, Warwick, RI 02886-1768 | 2005-10-13 |
| 1730529306 | Richard Eric Seguritan | Internal Medicine | 125 Metro Center Boulevard, Suite 2000, Warwick, RI 02886-1768 | 2013-06-27 |
| 1548426760 | Adib Karam | Radiology | 125 Metro Center Boulevard, Suite 2000, Warwick, RI 02886-1768 | 2008-08-07 |
| 1285895607 | Shruthi Ram | Radiology | 125 Metro Center Boulevard, Suite 2000, Warwick, RI 02886-1768 | 2008-06-18 |
| 1982864518 | Cassandra Marie Sams | Radiology | 125 Metro Center Boulevard, Suite 2000, Warwick, RI 02886-1768 | 2008-06-17 |
| 1164640389 | Ryan Andrew Mctaggart | Radiology | 125 Metro Center Boulevard, Suite 2000, Warwick, RI 02886-1785 | 2007-04-23 |
| 1508084716 | Terrance Timothy Healey | Radiology | 125 Metro Center Boulevard, Suite 2000, Warwick, RI 02886 | 2007-04-23 |
| 1508815978 | David Grand | Radiology | 125 Metro Center Boulevard, Suite 2000, Warwick, RI 02886-1768 | 2006-05-10 |
| 1801879507 | Michael L Viens | Radiology | 125 Metro Center Boulevard, Suite 2000, Warwick, RI 02886-1768 | 2005-11-28 |
| 1477544948 | John A Cassese | Radiology | 125 Metro Center Boulevard, Suite 2000, Warwick, RI 02886-1768 | 2005-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694445 | Sheri Lynn Sklarz | Specialist | 300 Quaker Lane, Miracle Ear Suite C15, Warwick, RI 02886 | 2020-03-23 |
| 1316581424 | Dr. Degiulio & Associates Inc | Optometrist | 400 Bald Hill Road Ste 163, Warwick Mall, Warwick, RI 02886 | 2019-10-31 |
| 1255813291 | Samantha Pena Moore | Behavioral Analyst | 3446 Post Road, Warwick, RI 02886 | 2018-09-06 |
| 1912496209 | Martin Jude Cotti | Internal Medicine | 455 Toll Gate Rd., Warwick, RI 02886 | 2018-05-02 |
| 1447764261 | Cynthia A Lessard | Nurse Practitioner | 15 Health Lane, Warwick, RI 02886 | 2017-12-01 |
| 1538687520 | David A. Bennett | Registered Nurse | 2756 Post Road, Warwick, RI 02886 | 2017-08-30 |
| 1427585223 | Brittany Teixeira | Counselor | 85 Earl Street, Warwick, RI 02886 | 2017-05-11 |
| 1497125199 | Aiden Philip Cwynar | Optometrist | 1050 Centerville Road, Warwick, RI 02886 | 2015-10-07 |
| 1104221738 | Wilfredo L Sancianco Dmd Inc | Preferred Provider Organization | 3411 W Shiore Rd, Warwick, RI 02886 | 2014-10-24 |
| 1831508662 | Matthew Bryant Mitchell | Physical Therapist | 400 Bald Hill Rd #511, Warwick, RI 02886 | 2014-08-06 |
| Find all providers in zip 02886 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619591070 | Alexandra L Conrad | Physician Assistant | 48 Gaspee Point Dr, Warwick, RI 02888-4918 | 2020-06-02 |
| 1104318427 | Nicholas Ivar Cookson | Physician Assistant | 127 Prospect St, Warwick, RI 02886-7138 | 2018-06-01 |
| 1689191553 | Mary Catherine Maher | Physician Assistant | 535 Centerville Rd Ste 102, Warwick, RI 02886-4376 | 2017-08-23 |
| 1881001386 | Alexa Marie Joanow | Physician Assistant | 40 Horizon Farms Dr, Warwick, NY 10990-2260 | 2014-07-16 |
| 1134106750 | Martina Marie Schulz | Physician Assistant | 176 Tollgate Rd, Warwick Psych Center, Warwick, RI 02886 | 2005-12-23 |
| 1053319038 | Michelle L. Tautkus | Physician Assistant | 475 Kilvert Street, Suite 310, Warwick, RI 02886 | 2005-07-13 |
| 1003813866 | Michael John Cobb | Physician Assistant | 962 Warwick Ave, Warwick, RI 02888-3650 | 2005-07-07 |
| 1326662362 | Melissa Nicole Martino | Physician Assistant | 857 Post Rd, Warwick, RI 02888-3360 | 2020-06-05 |
| 1093354573 | Keith Bentley | Physician Assistant | 962 Warwick Ave, Warwick, RI 02888-3650 | 2019-12-31 |
| 1083265003 | Kayla Resch | Physician Assistant | 535 Centerville Rd, Warwick, RI 02886-4486 | 2019-09-20 |
| Find all providers in WARWICK | ||||
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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.