MS. LISA FULLER


Address: 1600 E Broadway, Columbia, MO 65201-5844
Phone: 5738158000

MS. LISA FULLER (NPI# 1760847461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760847461
Entity Type Individual
Full Name MS. LISA FULLER
Credential RN
Practice Address 1600 E Broadway
Columbia
MO 65201-5844
Mailing Address 38 Albany Dr
Columbia
MO 65201-8122
Practice Telephone 5738158000
Mailing Telephone 5734452180
Enumeration Date 2015-12-22
Last Update Date 2015-12-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163W00000X Registered Nurse 2014006880 MO Nursing Service Providers
N 163WM0705X Registered Nurse
Specialization: Medical-Surgical
2014006880 MO Nursing Service Providers
N 163WN0800X Registered Nurse
Specialization: Neuroscience
2014006880 MO Nursing Service Providers

Other Providers LISA FULLER

NPI Name Taxonomy Address Enumeration
1457958746 Lisa Ellen Fuller Nutritionist 3802 Sevierville Pike # 2, Knoxville, TN 37920-4551 2020-10-08
1801246210 Lisa Fuller Registered Nurse 25 Laurie Ln, Bridgewater, MA 02324-3539 2016-06-16
1942441092 Lisa Marie Fuller Occupational Therapist 9854 S 43rd Pl, Phoenix, AZ 85044-7528 2009-03-19
1093838781 Lisa Marie Fuller Case Manager/Care Coordinator 211 Blanchard, Mountain View, AR 72560 2007-04-09
1609899947 Lisa Joy Fuller Optometrist 505 Retail Way Ste 118, Louisburg, NC 27549-6480 2006-07-26
1407407372 Lisa Barry Fuller Counselor 1672 Columbia Hwy, Dothan, AL 36303-5434 2019-09-23
1265927057 Lisa Ann Fuller Nurse Practitioner 8033 Ray Mears Blvd, Knoxville, TN 37919-5458 2018-06-25
1215430871 Lisa Fuller Physical Therapist 1375 N Main St, Lapeer, MI 48446-1350 2018-03-09
1932531928 Lisa Fuller Nurse Practitioner 2410 Boonville Rd, Bryan, TX 77808-2226 2013-08-01
1366567398 Lisa L Fuller Preventive Medicine 1720 W Southern Ave, Suite B1-b6, Mesa, AZ 85202-4834 2007-03-20

Office Location

Street Address 1600 E BROADWAY
City COLUMBIA
State MO
Zip Code 65201-5844

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134124266 Randall E Mueller Emergency Medicine 1600 E Broadway, Columbia, MO 65201-5844 2005-06-15
1154939056 Ch Allied Services, Inc. Clinical Medical Laboratory 1600 E Broadway, Columbia, MO 65201-5844 2020-07-16
1508482407 Taylor Frymire Nurse Anesthetist, Certified Registered 1600 E Broadway, Columbia, MO 65201-5844 2020-06-17
1609405786 Terrissa Marie Neimeyer Registered Nurse 1600 E Broadway, Columbia, MO 65201-5844 2020-04-02
1659906345 Mary F Linneman Dietitian, Registered 1600 E Broadway, Columbia, MO 65201-5844 2020-03-03
1689219479 Katie A Shelton Dietitian, Registered 1600 E Broadway, Columbia, MO 65201-5897 2019-11-15
1003459280 Laura Grace Mcdermott Dietitian, Registered 1600 E Broadway, Columbia, MO 65201-5844 2019-10-21
1518517515 Victoria Knecht Copeland Dietitian, Registered 1600 E Broadway, Columbia, MO 65201-5844 2019-09-12
1811546559 Elias Kiptoo Melly Nurse Anesthetist, Certified Registered 1600 E Broadway, Columbia, MO 65201-5844 2019-09-05
1023664562 Rebekah Bail Nurse Practitioner 1600 E Broadway, Columbia, MO 65201-5844 2019-08-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134688534 Thomas Havey Specialist/Technologist 600 E Stadium Boulevard, Columbia, MO 65201 2019-03-15
1881176121 Darrea L Green Nurse Practitioner 3700 Interstate 70 Dr Se, Columbia, MO 65201 2018-09-04
1073092383 Andrea L. Lingenfelter Registered Nurse 1605 East Broadway, Ste. 100, Columbia, MO 65201 2018-08-08
1144724238 Angela Marie Richmond Internal Medicine 1 Hospital Dr Rm Ma423, Columbia, MO 65201 2018-03-22
1770092892 Palmer's Home Care, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 701 Hillsdale Road, Columbia, MO 65201 2017-09-20
1205358710 Mitchell E Swee Specialist/Technologist 600 East Stadium Blvd, Columbia, MO 65201 2017-07-17
1659815470 Colleen Jockin Specialist 100 Matc, Columbia, MO 65201 2016-12-13
1720535305 Hannah Garrad Dietitian, Registered Columbia 3, 25 Conley Road, Columbia, MO 65201 2016-09-01
1043662570 Restoration Chiropractic LLC Chiropractor 1413 Grindstone Plaza Drive, Columbia, MO 65201 2016-07-08
1306298930 Taylor John Sirois Chiropractor 1413 Grindstone Plaza Dr., Columbia, MO 65201 2016-07-07
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Taxonomy Information

Taxonomy Code 163W00000X
Grouping Nursing Service Providers
Classification Registered Nurse

Taxonomy Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427655513 Kia Renee Smith Registered Nurse 140 Trillium Rd, Columbia, SC 29229-6802 2020-10-02
1801412887 Savanna Marie Jenks Registered Nurse 1221 Trotwood Ave, Columbia, TN 38401-4854 2020-06-25
1063034072 Linda Kristy Bell Registered Nurse 7942 Harriet Tubman Ln, Columbia, MD 21044-4013 2020-05-13
1538781075 Caitlin Shea Kelley Registered Nurse 9872 Softwater Way, Columbia, MD 21046-1825 2020-05-07
1194346940 Leslie Kay Murphy Registered Nurse 4601 Highway 55 South Rd, Columbia, KY 42728-9286 2020-05-04
1235764580 Cheedy Jaja Registered Nurse College of Nursing 1601 Greene Street, Columbia, SC 29208-0001 2020-03-06
1558991547 Ronak Rajeshkumar Patel Registered Nurse 3710 S Lenoir St, Columbia, MO 65201-5463 2020-01-19
1245871540 Ranshell Micole Harrington Registered Nurse 7455 Noah Court Columbia, Mo65202, Columbia, MO 65202 2019-10-08
1568016749 Rhondalyn Ilori Registered Nurse 604 Chapman St, Columbia, MS 39429-3140 2019-07-26
1477015808 April Laverne Jones Registered Nurse 2715 Colonial Dr Suite 100, Columbia, SC 29203 2019-04-04
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Competitor

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City COLUMBIA
Zip Code 65201

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Dataset Information

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.

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