ANTHONY BLAIR FULLER (NPI# 1891823456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891823456 |
| Entity Type | Individual |
| Full Name | ANTHONY BLAIR FULLER |
| Credential | LPC, MHSP |
| Practice Address |
3457 Kingston Pike Knoxville TN 37919-4633 |
| Mailing Address |
7023 Rockingham Dr Knoxville TN 37909-2525 |
| Practice Telephone | 8652075841 |
| Mailing Telephone | 8652075841 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2019-03-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
1700 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1506511 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073636494 | Anthony Demetrius Fuller | Licensed Practical Nurse | 44 The Blvd, Amityville, NY 11701-1433 | 2007-04-09 |
| 1073085999 | Anthony Raymond Fuller | Nurse Anesthetist, Certified Registered | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2018-12-18 |
| 1609184902 | Anthony Francis Fuller | Pharmacist | 982 5th St, Struthers, OH 44471-1527 | 2010-09-21 |
| Street Address |
3457 KINGSTON PIKE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-4633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588936132 | Tiffany Oliver Goodpasture | Counselor | 3457 Kingston Pike, Knoxville, TN 37919-4633 | 2012-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| Find all providers in zip 37919 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454291 | Candis Maria Cochran | Counselor | 10740 Faith Promise Ln, Knoxville, TN 37931-1304 | 2020-10-14 |
| 1508471798 | Stephanie Mclain Wasserman | Counselor | 10411 Kates Path Ln, Knoxville, TN 37932-1574 | 2020-09-14 |
| 1639703747 | Catherine Ellen Hallam | Counselor | 408 N Cedar Bluff Rd Ste 305, Knoxville, TN 37923-3648 | 2020-02-27 |
| 1073144507 | Amy Lynn Dilworth | Counselor | 8700 Trapper Ln, Knoxville, TN 37931-4258 | 2020-02-03 |
| 1942792130 | Shannon Susanne Mcbride | Counselor | 8848 Cedar Springs Ln Ste 201, Knoxville, TN 37923-5416 | 2018-06-04 |
| 1487144283 | Wiest-barbian Counseling and Consulting LLC | Counselor | 1400 N 6th Ave, Knoxville, TN 37917-6043 | 2018-05-16 |
| 1043713985 | Lakshmi Rekha Subbanna | Counselor | 714 Fox Landing Ln, Knoxville, TN 37922-8306 | 2018-03-16 |
| 1245733401 | Amy L. Skinner | Counselor | 10426 Jackson Oaks Way Ste 102, Knoxville, TN 37922-0709 | 2018-03-14 |
| 1194227843 | Tracy Marie Serrano | Counselor | 9724 Kingston Pike Ste 605, Knoxville, TN 37922-6900 | 2018-03-07 |
| 1811499841 | Jeffery Cockerham | Counselor | 5364 N Broadway St, Knoxville, TN 37918-3238 | 2018-03-06 |
| Find all providers in KNOXVILLE | ||||
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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.