TIFFANY I FULLER (NPI# 1831743970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831743970 |
| Entity Type | Individual |
| Full Name | TIFFANY I FULLER |
| Credential | SUDRC |
| Practice Address |
682 Briergate Way Hayward CA 94544-7245 |
| Mailing Address |
5120 Springlake Dr San Leandro CA 94578-4816 |
| Practice Telephone | 5104872910 |
| Mailing Telephone | 5108307093 |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
8042 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1-IND | 8042 | 01 |
| CA | CADTP | 8042 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538791686 | Tiffany Case Fuller | Student in an Organized Health Care Education/Training Program | 1601 Greene St, Columbia, SC 29208-4001 | 2020-02-06 |
| 1326606716 | Tiffany Fuller | Occupational Therapist | 7950 Millhaven Rd, Monroe, LA 71203-9008 | 2019-05-31 |
| 1760941660 | Tiffany Fuller | Counselor | 9470 Annapolis Rd # 114, Lanham, MD 20706-3025 | 2019-03-19 |
| Street Address |
682 BRIERGATE WAY |
| City | HAYWARD |
| State | CA |
| Zip Code | 94544-7245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821209164 | Linda Stewart | Marriage & Family Therapist | 682 Briergate Way, Hayward, CA 94544-7245 | 2007-05-25 |
| 1912545773 | Monica Ramirez | Counselor | 682 Briergate Way, Hayward, CA 94544-7245 | 2019-12-11 |
| 1508329129 | Batya Sally Brose | Counselor | 682 Briergate Way, Hayward, CA 94544-7245 | 2019-04-10 |
| 1962964411 | Monica Johnson | Counselor | 682 Briergate Way, Hayward, CA 94544 | 2019-04-03 |
| 1063988442 | Nicole Martinez | Counselor | 682 Briergate Way, Hayward, CA 94544-7245 | 2018-10-23 |
| 1003391103 | Karen Yvette Price | Counselor | 682 Briergate Way, Hayward, CA 94544-7245 | 2018-09-25 |
| 1326529702 | Joyce Marie Pullum | Counselor | 682 Briergate Way, Hayward, CA 94544-7245 | 2018-08-24 |
| 1942796917 | Maria Biancca Legaspi Parazo | Counselor | 682 Briergate Way, Hayward, CA 94544-7245 | 2018-07-02 |
| 1942795893 | Katharyn Anderson | Counselor | 682 Briergate Way, Hayward, CA 94544-7245 | 2018-06-23 |
| 1235623547 | Marlo Ornelas | Case Manager/Care Coordinator | 682 Briergate Way, Hayward, CA 94544-7245 | 2018-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659845147 | Yves Richard Preval | Respiratory Therapist, Registered | 29843 Baltic Ct, Hayward, CA 94544 | 2019-01-17 |
| 1578044764 | Dionisia Maria Inocencio | Psychologist | 24823 Soto Rd, Hayward, CA 94544 | 2018-08-24 |
| 1235642307 | Ana Cecilia Contreras | Counselor | 550 Berry Ave, 1, Hayward, CA 94544 | 2017-11-13 |
| 1528580990 | Mind Fitness Center | Counselor | 225 West. Winton Ave, Suite 202d, Hayward, CA 94544 | 2017-07-07 |
| 1831628262 | Edith Mcneal | Counselor | 31518 Medinah St., Hayward, CA 94544 | 2017-06-08 |
| 1629456520 | Kevin Porciuncula | Family Medicine | 1251 W Tennyson Rd Ste 4, Hayward, CA 94544 | 2015-05-12 |
| 1104226273 | Mohamed Conteh | Social Worker | 555 Sycamore Avenue #4, Hayward, CA 94544 | 2014-08-26 |
| 1386993558 | Jose Angel Gonzalez Jr. | Counselor | 107 Jackson St., Hayward, CA 94544 | 2012-09-04 |
| 1003171828 | Alameda County Public Health Nursing | Public Health or Welfare | 24085 Amador, Hayward, CA 94544 | 2012-07-09 |
| 1114208907 | Building Opportunities for Self Sufficiency | Community/Behavioral Health | 730 #8 Bartlett Ave, Hayward, CA 94544 | 2011-09-07 |
| Find all providers in zip 94544 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669011532 | Nicole Nelson | Counselor | 25800 Industrial Blvd, Hayward, CA 94545-2935 | 2019-12-24 |
| 1053963132 | Latonia Washington | Counselor | 29099 Colony Ct, Hayward, CA 94544-5864 | 2019-07-10 |
| 1861056764 | Sarah Ann Cormell | Counselor | 10576 Main Street, Hayward, WI 54843-6658 | 2019-04-25 |
| 1801365192 | Zinaya M Brown | Counselor | 22320 Foothill Blvd Ste 245, Hayward, CA 94541-2885 | 2018-11-16 |
| 1528580990 | Mind Fitness Center | Counselor | 225 West. Winton Ave, Suite 202d, Hayward, CA 94544 | 2017-07-07 |
| 1558810150 | Ernestine Tauiliili | Counselor | 27890 Havana Ave, Hayward, CA 94544-5008 | 2016-09-25 |
| 1639624646 | James Dixon | Counselor | 17255 Santa Fe St, Hayward, CA 94541-1055 | 2016-08-19 |
| 1811347552 | Alexaraee Lefefe Toeaina | Counselor | 21701 Foothill Blvd Apt 175, Hayward, CA 94541-2146 | 2016-06-14 |
| 1922417708 | Michelle Celeste Norris | Counselor | 695 Atherton Pl, Hayward, CA 94541-6600 | 2014-08-06 |
| 1659788917 | Jessica Cuadra Alford | Counselor | 2021 Highland Blvd, Hayward, CA 94542-1100 | 2014-07-18 |
| Find all providers in HAYWARD | ||||
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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.