SARA G FULLER (NPI# 1871546226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871546226 |
| Entity Type | Individual |
| Full Name | SARA G FULLER |
| Credential | NP |
| Practice Address |
2638 Two Notch Rd Suite 110 Columbia SC 29204-1454 |
| Mailing Address |
15 Medical Park Rd Suite 300 Columbia SC 29203-8003 |
| Practice Telephone | 8032562500 |
| Practice Fax Number | 8032553451 |
| Mailing Telephone | 8032553422 |
| Mailing Fax Number | 8032553451 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2008-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APN1042 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP0171 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996104 | Sara Fuller | Counselor | 3016 Ne 70th Ave, Portland, OR 97213-5802 | 2020-09-12 |
| 1467925321 | Sara Fuller | Counselor | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2019-01-03 |
| 1720483647 | Sara Fuller | Speech-Language Pathologist | 270 Richland Dr, Pulaski, TN 38478-2616 | 2014-11-04 |
| Street Address |
2638 TWO NOTCH RD SUITE 110 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-1454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770943235 | Victoria Hollingsworth Davis | Registered Nurse | 2638 Two Notch Rd, Suite 110, Columbia, SC 29204-1454 | 2016-02-26 |
| 1316323348 | Jim Manning | Social Worker | 2638 Two Notch Rd, Suite 108, Columbia, SC 29204-1454 | 2015-07-31 |
| 1568860336 | Second Chances Youth Services, LLC | Community/Behavioral Health | 2638 Two Notch Rd, Suite 106, Columbia, SC 29204-1454 | 2014-12-10 |
| 1053730572 | Palmetto Family Service Center of Sc | Community/Behavioral Health | 2638 Two Notch Rd, Suite 108, Columbia, SC 29204-1454 | 2014-04-11 |
| 1689910572 | South Carolina Department of Social Services | Case Management | 2638 Two Notch Rd, Suite 200, Columbia, SC 29204-1454 | 2012-12-20 |
| 1508126087 | Delores Michelle Madison | Counselor | 2638 Two Notch Rd, Suite 106, Columbia, SC 29204-1454 | 2012-05-18 |
| 1710258678 | Shannon Elizabeth Phillips | Counselor | 2638 Two Notch Rd, Suite 106, Columbia, SC 29204-1454 | 2012-01-24 |
| 1740550318 | Lauren Elaine Trollinger | Counselor | 2638 Two Notch Rd, Suite 106, Columbia, SC 29204-1454 | 2012-01-12 |
| 1013295807 | Alison York Sanderson | Counselor | 2638 Two Notch Rd, Columbia, SC 29204-1454 | 2011-07-27 |
| 1316250632 | Sheryl Mcalhaney Brown | Counselor | 2638 Two Notch Rd, Suite 106, Columbia, SC 29204-1454 | 2010-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093225096 | Edna Ayah | Nurse Practitioner | 8310 Guilford Rd, Columbia, MD 21046-1279 | 2017-10-04 |
| 1366995789 | Shawn Danielle Neyens | Nurse Practitioner | 303 N Keene St Ste 404, Columbia, MO 65201-7193 | 2016-08-02 |
| 1962823443 | Erin Gubbins | Nurse Practitioner | 500 N Keene St Ste 303, Columbia, MO 65201-8104 | 2013-12-30 |
| 1386924991 | Eleanor Doris Merboth | Nurse Practitioner | 6100 Dobbin Rd., Columbia, MD 21045 | 2011-08-26 |
| 1902986680 | Penelope Joan Buckman | Nurse Practitioner | 5 Medical Park Road, Columbia, SC 29203 | 2006-10-16 |
| 1952335077 | Karen Mae Waganer | Nurse Practitioner | 2113 Adams Grv Ste 101, Columbia, SC 29203-6957 | 2006-07-11 |
| 1740210129 | Laura L Szadek | Nurse Practitioner | Nine Medical Park, Suite 230, Columbia, SC 29203 | 2006-07-03 |
| 1104866771 | Elizabeth M Berg | Nurse Practitioner | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2006-06-08 |
| 1679531859 | Sara Margaret Haslag | Nurse Practitioner | 2011 Corona Rd, Suite 207, Columbia, MO 65203-2548 | 2006-05-03 |
| 1609835347 | Charlotte Marie Mcreary | Nurse Practitioner | 2113 Adams Grove Rd, Columbia, SC 29203-6951 | 2006-03-21 |
| Find all providers in COLUMBIA | ||||
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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.