LAURA GARRARD FULLER (NPI# 1669845509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669845509 |
| Entity Type | Individual |
| Full Name | LAURA GARRARD FULLER |
| Credential | APRN |
| Practice Address |
1514 Vernon Rd Lagrange GA 30240-4131 |
| Practice Telephone | 7068453112 |
| Mailing Telephone | 7068453112 |
| Enumeration Date | 2015-10-31 |
| Last Update Date | 2015-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
RN166518 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255773933 | Laura Lyn Fuller | Speech-Language Pathologist | 3012 N 17th Ave, Phoenix, AZ 85015-6112 | 2013-07-23 |
| 1689988750 | Laura Palmer Fuller | Social Worker | 640 E 2300 N, North Ogden, UT 84414-2855 | 2010-08-01 |
| 1508337189 | Laura Rizzo Fuller | Occupational Therapist | 2627 Crystal Ave, Findlay, OH 45840-4459 | 2018-12-07 |
| 1548754047 | Laura Kate Fuller | Speech-Language Pathologist | 8564 Jefferson Hwy Ste B, Baton Rouge, LA 70809-2424 | 2018-06-18 |
| 1194101329 | Laura Jean Fuller | Physician Assistant | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2015-08-11 |
| 1770968240 | Laura Marie Fuller | Dietitian, Registered | 197 N Mccleary Rd, Excelsior Springs, MO 64024-8490 | 2015-07-27 |
| 1114329919 | Laura Marie Fuller | Marriage & Family Therapist | 1849 Sawtelle Blvd, #100, Los Angeles, CA 90025-7006 | 2014-09-23 |
| 1093146086 | Laura Linda Fuller | Speech-Language Pathologist | 485 Chama Trce, Dripping Springs, TX 78620-5311 | 2013-12-02 |
| 1982950929 | Laura A Fuller | Counselor | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2012-07-27 |
| 1982813150 | Laura L Fuller | Psychologist | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2007-05-22 |
| Street Address |
1514 VERNON RD |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30240-4131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609860014 | Heather Tomlinson Coggins | Dietitian, Registered | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2005-08-31 |
| 1437762747 | James L Yancey | Student in an Organized Health Care Education/Training Program | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2020-08-26 |
| 1700400272 | Jared K Angstadt | Nurse Anesthetist, Certified Registered | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2020-06-01 |
| 1467092445 | Arielle Watson | Nurse Practitioner | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2020-01-08 |
| 1336799733 | Colby Russey | Physician Assistant | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2019-09-17 |
| 1306401260 | Brandon Blakely Bisso | Nurse Practitioner | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2019-05-07 |
| 1902460926 | Pamela Teresa Sampson | Nurse Practitioner | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2019-04-24 |
| 1013487065 | Jennifer Nichole Bryant | Nurse Practitioner | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2018-12-03 |
| 1932683802 | Darrin Coulter | Physician Assistant | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2018-09-18 |
| 1053892760 | John Veal | Nurse Practitioner | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2018-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
| 1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
| 1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
| 1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
| 1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
| 1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
| 1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
| 1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
| Find all providers in zip 30240 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344586 | Lynester Williams | Clinical Nurse Specialist | 1876 Rock Chapel Rd, Lithonia, GA 30058-5105 | 2020-10-20 |
| 1942819545 | Alicia Haisley | Clinical Nurse Specialist | 504 Village Pt, Fairburn, GA 30213-5100 | 2020-07-29 |
| 1609314376 | Sajani Paresh Patel | Clinical Nurse Specialist | 4775 Jimmy Carter Blvd Ste 201, Norcross, GA 30093-3760 | 2017-02-02 |
| 1750827242 | Mahlet Abebe | Clinical Nurse Specialist | 621 Windcroft Cir Nw, Acworth, GA 30101-3797 | 2017-01-09 |
| 1952780389 | Beverley Murray | Clinical Nurse Specialist | 210 Long Bridge Rd, Helena, GA 31037-2804 | 2015-05-19 |
| 1013337690 | Elizabeth Anne Dykeman | Clinical Nurse Specialist | 3035 Highway 17, Sautee Nacoochee, GA 30571-3013 | 2014-04-22 |
| 1205258431 | Gary Steven Koller | Clinical Nurse Specialist | 76 Holder Road, Lumpkin, GA 31815 | 2014-01-07 |
| 1801135280 | Sharon Templeton Matson | Clinical Nurse Specialist | 2950 Ashbyrn Ct, Buford, GA 30519-3989 | 2013-02-05 |
| 1205061371 | Tami Mitchell Hefner | Clinical Nurse Specialist | 290 Emerald Dr, Clarkesville, GA 30523-4290 | 2009-05-19 |
| 1275796559 | Tawnya Lynette Pringle | Clinical Nurse Specialist | 3196 Mount Zion Rd, Apt 804, Stockbridge, GA 30281-9304 | 2008-07-07 |
| 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.