MRS. KAREN FULLER (NPI# 1831731306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831731306 |
| Entity Type | Individual |
| Full Name | MRS. KAREN FULLER |
| Credential | NP |
| Practice Address |
495 Charles Hardy Pkwy Dallas GA 30157-5723 |
| Practice Telephone | 7704452128 |
| Mailing Telephone | 7704452128 |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
143023 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4898 Austell Rd, Austell, GA 301062055 | 7706358407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770960619 | Karen Fuller | Marriage & Family Therapist | 2487 Cedarcrest Rd Ste 722, Acworth, GA 30101 | 2015-04-29 |
| 1932458858 | Karen L Fuller | Pharmacist | 10707 W. Peoria Avenue, Sun City, AZ 85351 | 2012-09-06 |
| 1063022192 | Karen Fuller | Social Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-08-04 |
| 1548894256 | Karen Renee Fuller | Nurse Practitioner | 415 S Pollard St, Vinton, VA 24179-2502 | 2020-03-03 |
| 1588047161 | Karen Fuller | Counselor | 14216 Ne 21st St, Bellevue, WA 98007-3720 | 2015-07-01 |
| 1043480833 | Karen Lackritz Fuller | Social Worker | 40 Flatbush Avenue Ext, 8th Floor, Brooklyn, NY 11201-2903 | 2008-03-07 |
| Street Address |
495 CHARLES HARDY PKWY |
| City | DALLAS |
| State | GA |
| Zip Code | 30157-5723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306250121 | Meredith Anne Duggan | Nurse Practitioner | 495 Charles Hardy Pkwy, Dallas, GA 30157-5723 | 2014-06-19 |
| 1659864593 | Sierra Renee Barr | Nurse Practitioner | 495 Charles Hardy Pkwy, Dallas, GA 30157 | 2018-06-13 |
| 1255875167 | Angella E Henry | Nurse Practitioner | 495 Charles Hardy Pkwy, Minuteclinic, Dallas, GA 30157-5723 | 2016-12-12 |
| 1689128787 | Lauren Ditthardt Barker | Nurse Practitioner | 495 Charles Hardy Pkwy, Dallas, GA 30157-5723 | 2016-08-08 |
| 1770949364 | Chandra Vera Chapman | Nurse Practitioner | 495 Charles Hardy Pkwy, Dallas, GA 30157-5723 | 2016-01-12 |
| 1275903510 | Angela Foreman Raney | Nurse Practitioner | 495 Charles Hardy Pkwy, Dallas, GA 30157-5723 | 2015-09-29 |
| 1730556051 | Phyllis Gituku | Pharmacist | 495 Charles Hardy Pkwy, Dallas, GA 30157-5723 | 2015-08-24 |
| 1962878298 | Dusung Lim | Pharmacist | 495 Charles Hardy Pkwy, Dallas, GA 30157-5723 | 2015-08-21 |
| 1053787523 | Kurenai Poisson | Pharmacist | 495 Charles Hardy Pkwy, Dallas, GA 30157-5723 | 2015-08-19 |
| 1043686835 | Ankit Patel | Pharmacist | 495 Charles Hardy Pkwy, Dallas, GA 30157-5723 | 2015-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608629 | Harshadbhai Vinubhai Patel | Pharmacist | 3615 Marietta Highway, Dallas, GA 30157 | 2020-10-30 |
| 1043852627 | Lindsay Sheets | Dentist | 59 Hillside Trce Ste 105, Dallas, GA 30157 | 2019-10-15 |
| 1619459062 | Emily Nicole Koopman | Specialist/Technologist | 399 Powder Creek Way, Dallas, GA 30157 | 2018-09-02 |
| 1073969861 | Rachel Spencer | Physical Therapist | 99 Hillside Trace, Dallas, GA 30157 | 2016-05-11 |
| 1336514827 | Petal Shields | Community Health Worker | 121 Omega Ct, Dallas, GA 30157 | 2015-12-09 |
| 1851797294 | Annette Moncion | Nurse Practitioner | 32 Midland Lane, Dallas, GA 30157 | 2014-11-12 |
| 1003211079 | Melissa Brice | Lactation Consultant, Non-RN | 430 Parson Rd, Dallas, GA 30157 | 2014-11-03 |
| 1104101690 | Jared Alan Lott | Pharmacist | 303 Charlie Watts Blvd, Dallas, GA 30157 | 2011-10-15 |
| 1972888758 | Lisa Nicole Mcentire | Massage Therapist | 119 Fairview Oak Trace, Dallas, GA 30157 | 2011-10-12 |
| 1548570120 | Chad Stough | Physician Assistant | 2713 Marietta Highway, Suite 122, Dallas, GA 30157 | 2010-10-15 |
| Find all providers in zip 30157 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1699376723 | David James Wainwright | Nurse Practitioner | 3838 Rawlins St Apt 212, Dallas, TX 75219-4247 | 2020-11-04 |
| 1528668860 | Nicole Chadwick | Nurse Practitioner | 14332 Montfort Dr Apt 7306, Dallas, TX 75254-1911 | 2020-10-27 |
| 1952901415 | Melissa Green | Nurse Practitioner | 2301 Cedar Springs Rd Ste 405, Dallas, TX 75201-7869 | 2020-10-26 |
| 1194324640 | Busola Stella Amurawaiye | Nurse Practitioner | 14232 Dallas Pkwy Apt 1614, Dallas, TX 75254-2934 | 2020-10-25 |
| 1164020350 | Christina Wilder | Nurse Practitioner | 821 Allen Street Apt 424, Dallas, TX 75204 | 2020-10-11 |
| 1689288276 | Chinyere Ezeh | Nurse Practitioner | 11700 Audelia Rd Apt 2031, Dallas, TX 75243-4731 | 2020-09-01 |
| 1992317341 | Modern Enhancement | Nurse Practitioner | 2777 N Stemmons Fwy Ste 1141, Dallas, TX 75207-2273 | 2020-08-18 |
| 1679183172 | Stacie Teresa Mccally | Nurse Practitioner | 4055 Valley View Lane, Dallas, TX 75022 | 2020-08-09 |
| 1528678083 | Esther Siriba | Nurse Practitioner | 9304 Forest Ln Ste N244, Dallas, TX 75243-6238 | 2020-08-08 |
| Find all providers in DALLAS | ||||
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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.