MRS. KATHLEEN MARIE FULLER (NPI# 1689638371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689638371 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN MARIE FULLER |
| Credential | NP |
| Practice Address |
300 Congress St Suite 102 Quincy MA 02169-0907 |
| Practice Telephone | 6174796636 |
| Practice Fax Number | 6173760435 |
| Mailing Telephone | 6174711161 |
| Mailing Fax Number | 6173760435 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2016-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
RN2297885 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | NURSE PRACTITIONER LICENSE | RN2297885 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871092585 | Kathleen Fuller | Nurse Practitioner | 700 S Washington St Ste 330, Alexandria, VA 22314-4252 | 2018-02-08 |
| Street Address |
300 CONGRESS ST SUITE 102 |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-0907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477554251 | Steven A Nielsen | Ophthalmology | 300 Congress St, Suite 201, Quincy, MA 02169-0907 | 2005-08-03 |
| 1477198547 | Myung Nicholson | Massage Therapist | 300 Congress St, Quincy, MA 02169-0907 | 2019-11-13 |
| 1720511934 | United Prosthetics Inc | Prosthetic/Orthotic Supplier | 300 Congress St, Suite 404, Quincy, MA 02169-0907 | 2017-04-05 |
| 1962899534 | Associates of South Shore Dermatology LLC | Dermatology | 300 Congress St, Ste 408, Quincy, MA 02169-0907 | 2015-04-22 |
| 1215326384 | United Diagnostics | Clinic/Center | 300 Congress St, Suite 206, Quincy, MA 02169-0907 | 2015-01-13 |
| 1649671876 | Laura Francoeur | Clinical Nurse Specialist | 300 Congress St, Suite 102, Quincy, MA 02169-0907 | 2014-09-08 |
| 1710387386 | Associates of South Shore Dermatology LLC | Dermatology | 300 Congress St, Ste 408, Quincy, MA 02169-0907 | 2014-09-02 |
| 1669713830 | Andrea L Mazzaferro | Physical Therapist | 300 Congress St, Suite 301, Quincy, MA 02169-0907 | 2013-03-12 |
| 1487924239 | Crown Obstetrics and Gynecology | Obstetrics & Gynecology | 300 Congress St, Suite 102, Quincy, MA 02169-0907 | 2012-01-11 |
| 1396974812 | Helen Rego Moreira | Ophthalmology | 300 Congress St, Suite 200, Quincy, MA 02169-0907 | 2009-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508000803 | Jaime Daunt Kullak | Nurse Practitioner | 300 Congress St, 102, Quincy, MA 02169-0907 | 2009-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417590514 | Shaina Kulbersh | Nurse Practitioner | 701 Cambridge St Unit A, Brighton, MA 02135-2803 | 2019-10-21 |
| 1215484761 | Kimberly Angelini | Nurse Practitioner | 2 Haven St., Suite 309, Reading, MA 01867 | 2016-09-01 |
| 1588117188 | Carolina Lopes | Nurse Practitioner | 48 Carlotta Ave, Hyannis, MA 02601-3432 | 2016-07-29 |
| 1780093757 | Sarah Epstein | Nurse Practitioner | 100 Andover Bypass Ste 300, North Andover, MA 01845 | 2014-08-04 |
| 1235441957 | Marina D Goldman | Nurse Practitioner | 395 Pleasant Street, Northampton, MA 01060 | 2010-07-10 |
| 1164654190 | Kirsten T Kowalski | Nurse Practitioner | 34 Main St Ste 1, Amherst, MA 01002-2356 | 2009-08-09 |
| 1952428815 | Natalya Carney | Nurse Practitioner | 10 Westgate Rd, Framingham, MA 01701-8836 | 2007-03-24 |
| 1689747164 | Makeda Kamara | Nurse Practitioner | 39 Dracut St, Dorchester Center, MA 02124-3818 | 2006-11-15 |
| 1699866970 | Maria Lopiano | Nurse Practitioner | 1 Park Way Fl 4, Haverhill, MA 01830-6278 | 2006-09-28 |
| 1427059021 | Cindy Munro Popovic | Nurse Practitioner | 100 Medway Rd, Milford, MA 01757-2923 | 2005-08-03 |
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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.