MR. AUNDRA LAMAR FULLER


Address: 10922 E. 39th St., Tulsa, OK 74146
Phone: 9182826850

MR. AUNDRA LAMAR FULLER (NPI# 1790046654) 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) 1790046654
Entity Type Individual
Full Name MR. AUNDRA LAMAR FULLER
Practice Address 10922 E. 39th St.
Tulsa
OK 74146
Mailing Address 10922 E 39th St
Tulsa
OK 74146-2703
Practice Telephone 9182826850
Mailing Telephone 9182826850
Enumeration Date 2012-06-06
Last Update Date 2012-06-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103K00000X Behavioral Analyst 9999999999999999 OK Behavioral Health & Social Service Providers
Y 171M00000X Case Manager/Care Coordinator 9999999999999999 OK Other Service Providers

Office Location

Street Address 10922 E. 39TH ST.
City TULSA
State OK
Zip Code 74146

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922624550 Sage Anesthesia Services Inc. Nurse Anesthetist, Certified Registered Union Pines Surgery Center, 4808 S 109th E Ave, Tulsa, OK 74146 2020-06-19
1811401631 Fresenius Medical Care Tulsa, LLC Clinic/Center 5230 S Mingo Rd, Tulsa, OK 74146 2017-12-01
1184158404 Alexis Lauren Allen Case Manager/Care Coordinator 9820 E 41st St #400, Tulsa, OK 74146 2017-04-13
1578995908 Adrian Gheorghe Butuc Massage Therapist 5635 S Mingo #b, Tulsa, OK 74146 2013-08-08
1336587088 Tulsa Cancer Institute, Pllc Obstetrics & Gynecology 12697 E. 51st St. South, Tulsa, OK 74146 2013-06-04
1265782338 Milestones Pediatric Urgent Care Pediatrics 3863 South 103rd E Avenue, Tulsa, OK 74146 2012-09-14
1619232972 Diagnostic Imaging Associates General Acute Care Hospital 4500 S Garnett Rd, Ste 300, Tulsa, OK 74146 2012-07-11
1134492416 Mark S Thomas Jr. Behavioral Analyst 10005 E 52nd Street, Tulsa, OK 74146 2012-02-16
1922307958 Founders Healthcare, LLC Durable Medical Equipment & Medical Supplies 5115 S. 122nd East Ave., Suite 204, Tulsa, OK 74146 2011-03-16
1154554459 Ami Nichole Hess Radiology Practitioner Assistant 4500 South Garnett Rd, Suite 300, Tulsa, OK 74146 2009-09-02
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376143669 Taylor Austin Finch Case Manager/Care Coordinator 3500 S Peoria Ave, Tulsa, OK 74105-2529 2020-10-27
1427657212 Lakin Kennedy Monroe Case Manager/Care Coordinator 7781 S Mingo Rd Apt 512, Tulsa, OK 74133-3318 2020-10-22
1497369573 Charles Ivy Case Manager/Care Coordinator 4620 S Vandalia Ave, Tulsa, OK 74135-4715 2020-09-04
1255945952 Erin Martin Case Manager/Care Coordinator 5520 S Yorktown Pl, Tulsa, OK 74105-6116 2020-09-01
1700490372 Vanessa Charnell Bledsoe Case Manager/Care Coordinator 4966 N Frankfort Pl, Tulsa, OK 74126-3221 2020-09-01
1760092670 Kateri Smith Case Manager/Care Coordinator 1023 E 41st St Apt 6, Tulsa, OK 74105-7620 2020-08-05
1760091938 Lucy E Rutland Case Manager/Care Coordinator 4948 S Quincy Ave, Tulsa, OK 74105-4731 2020-07-23
1043837230 Dylan Tedvon Anderson Case Manager/Care Coordinator 515 S Denver Ave Apt 309, Tulsa, OK 74103-3873 2020-07-03
1134746100 Markeisha Lashae Mays Case Manager/Care Coordinator 9636 E 26th St, Tulsa, OK 74129-7010 2020-06-25
1649894767 Thomas Scott Godkins Case Manager/Care Coordinator 909 E 36th Pl, Tulsa, OK 74105-3001 2020-06-04
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Competitor

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City TULSA
Zip Code 74146

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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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