MARY CASSANDRA FULLER (NPI# 1639723240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639723240 |
Entity Type | Individual |
Full Name | MARY CASSANDRA FULLER |
Other Name | CASSIE FULLER |
Credential | NP-C |
Practice Address |
4499 Medical Dr San Antonio TX 78229-3735 |
Mailing Address |
29710 Twin Creeks Dr Bulverde TX 78163-2406 |
Practice Telephone | 2106920831 |
Practice Fax Number | 2105930211 |
Mailing Telephone | 2108317107 |
Enumeration Date | 2019-07-31 |
Last Update Date | 2019-10-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP142325 | TX | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
1295052009 | Mary Elizabeth Fuller | Physical Therapist | 300 N Virginia St, Port Lavaca, TX 77979-3449 | 2010-05-03 |
1013113133 | Mary Ann Fuller | Dietitian, Registered | 415 Springtree Rd, Lake Dallas, TX 75065-2392 | 2007-06-25 |
1902938525 | Mary E Fuller | Marriage & Family Therapist | 835 Sorrelwood Ct, Westlake Village, CA 91361-1840 | 2007-03-09 |
1538130984 | Mary Margaret Fuller | Counselor | 40347 Us Highway 19 N Ste 103, Tarpon Springs, FL 34689-4841 | 2006-02-01 |
1497364053 | Mary Fuller | Preventive Medicine | 110 N Burr Blvd, Kewanee, IL 61443-2214 | 2020-07-29 |
1326503707 | Mary Alise Fuller | Technician | 3030 30th St Se, Washington, DC 20020-1674 | 2019-02-09 |
1245775428 | Mary N. Fuller | Nurse Practitioner | 109 Daniel Dr, Danville, KY 40422 | 2016-12-27 |
1285034058 | Mary Fuller | Registered Nurse | 495 Congress Ave, New Haven, CT 06519-1312 | 2014-08-29 |
1689913774 | Mary Ellen Fuller | Occupational Therapist | 1 Freedom Way, Active Duty Rehab Unit (27), Augusta, GA 30904-6258 | 2013-02-08 |
Street Address |
4499 MEDICAL DR |
City | SAN ANTONIO |
State | TX |
Zip Code | 78229-3735 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922001395 | Sheldon G. Gross | Psychiatry & Neurology | 4499 Medical Dr, Ste 396, San Antonio, TX 78229-3713 | 2005-05-31 |
1033718994 | Adam Mitchell Sahyouni | Nurse Practitioner | 4499 Medical Dr, San Antonio, TX 78229-3735 | 2020-10-21 |
1679116974 | Katherine St. George | Counselor | 4499 Medical Dr, San Antonio, TX 78229-3735 | 2019-10-21 |
1528432135 | Steven Michael Rodriguez | Nurse Practitioner | 4499 Medical Dr, Suite 166, San Antonio, TX 78229-3771 | 2015-11-19 |
1912301748 | Amarie Chambers | Nurse Practitioner | 4499 Medical Dr, Suite 289, San Antonio, TX 78229-3735 | 2014-10-22 |
1922407253 | K & L Obgyn Inc | Obstetrics & Gynecology | 4499 Medical Dr, Suite 191, San Antonio, TX 78229-3735 | 2014-08-22 |
1144649153 | Olivia A Funes | Physician Assistant | 4499 Medical Dr, Suite 151a, San Antonio, TX 78229-3735 | 2014-04-08 |
1942630132 | Kimberly C Irwin, Md,pa | Specialist | 4499 Medical Dr, Suite 261, San Antonio, TX 78229-3735 | 2013-11-25 |
1801220850 | Terry Quinn Romo | Nurse Practitioner | 4499 Medical Dr, Suite 280, San Antonio, TX 78229-3735 | 2013-08-27 |
1558608026 | Urology With Dignity Pa | Urology | 4499 Medical Dr, Suite 151, San Antonio, TX 78229-3735 | 2013-01-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
Find all providers in zip 78229 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184224834 | Natasha Bakunda | Nurse Practitioner | Fountainhead One Tower, 8200 Ih-10 West, Ste 317, San Antonio, TX 78230 | 2020-10-30 |
1033719521 | Macy Atkins | Nurse Practitioner | 6676 Utsa Blvd, San Antonio, TX 78249-5100 | 2020-10-26 |
1801494554 | Yordanis Rafael Fonseca Vega | Nurse Practitioner | 12521 Nacogdoches Rd Ste 101, San Antonio, TX 78217-2117 | 2020-10-14 |
1255939237 | Ashley Elizabeth Swartz | Nurse Practitioner | 9502 Huebner Rd Ste 101, San Antonio, TX 78240-1683 | 2020-10-13 |
1871190173 | Cynthia B Elkins | Nurse Practitioner | 24806 Terlingua Bnd, San Antonio, TX 78261-2726 | 2020-10-08 |
1588270623 | Amanda Razo | Nurse Practitioner | 6315 Welles Arbor Cir, San Antonio, TX 78240-2148 | 2020-09-23 |
1255946935 | Norberto Hernandez Iv | Nurse Practitioner | 11501 Braesview Apt 3903, San Antonio, TX 78213-1262 | 2020-09-10 |
1033723655 | Hira Mughal | Nurse Practitioner | 9850 Twinbear Crk, San Antonio, TX 78245-9596 | 2020-09-01 |
1366055675 | Maria Christina Cruz Tijerina | Nurse Practitioner | 18518 Hardy Oak Blvd Apt 135, San Antonio, TX 78258-4759 | 2020-08-26 |
1225649593 | Gina M Duron | Nurse Practitioner | 10730 Green Trail Dr, San Antonio, TX 78223-4224 | 2020-08-11 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
Zip Code | 78229 |
Please comment or provide details below to improve the information on MARY CASSANDRA 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.