SCOTT MICHAEL FULLER (NPI# 1891984506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891984506 |
| Entity Type | Individual |
| Full Name | SCOTT MICHAEL FULLER |
| Credential | M.DIV |
| Practice Address |
3400 Lebanon Rd Murfreesboro TN 37129-1237 |
| Practice Telephone | 6158676000 |
| Mailing Telephone | 6156413309 |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2007-10-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366934861 | Scott Lee Fuller | Community/Behavioral Health | 241 Summit Ave Ste 100, Greensboro, NC 27401-3017 | 2018-05-31 |
| 1871566232 | Scott Edward Fuller | Chiropractor | 576 Main St, Woburn, MA 01801-2997 | 2006-02-08 |
| 1710225743 | Scott W Fuller | Chiropractor | 9923 Sw Arctic Dr, Beaverton, OR 97005-4194 | 2013-01-25 |
| 1144578055 | Scott Fuller | Behavioral Analyst | 9616 Portage Rd, Portage, MI 49002-7257 | 2012-08-27 |
| 1053348250 | Scott R Fuller | Anesthesiology | 875 8th St Ne, Massillon, OH 44646-8503 | 2006-06-26 |
| 1174507180 | Scott C Fuller | Otolaryngology | 2521 Stockton Blvd, Ste 7200, Sacramento, CA 95817-2207 | 2005-12-02 |
| Street Address |
3400 LEBANON RD |
| City | MURFREESBORO |
| State | TN |
| Zip Code | 37129-1237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770587677 | Vandana P Chowbey | Internal Medicine | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2005-06-08 |
| 1013518307 | Sheila Rosenfeld | Nurse Practitioner | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2020-11-04 |
| 1770193617 | Erin Merkel | Dietitian, Registered | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2020-08-05 |
| 1679105100 | Scott Allan Vink | Social Worker | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2020-02-12 |
| 1942847710 | Summer Crouch | Dietitian, Registered | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2019-11-29 |
| 1124677281 | Nikkina Hankins, Rph, Pharmd | Pharmacist | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2019-09-10 |
| 1467000158 | Brennan Barlow | Kinesiotherapist | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2019-08-27 |
| 1760043533 | Dawn Michelle Brady | Social Worker | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2019-06-24 |
| 1871159806 | Keia L Suttle | Social Worker | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2019-05-15 |
| 1871158360 | Gwendolyn R Mcchristian | Physical Therapy Assistant | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2019-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183188 | Results-ast Jv, LLC | Physical Therapist | 1203-b Memorial Blvd, Murfreesboro, TN 37129 | 2020-10-27 |
| 1629689674 | Saint Thomas Medical Partners | Clinic/Center | 220 West Jefferson Pike, Murfreesboro, TN 37129 | 2020-08-13 |
| 1841822301 | Treasure Island Pediatric Dentistry | Clinic/Center | 1900 Medical Center Parkway, 110, Murfreesboro, TN 37129 | 2020-02-12 |
| 1275164162 | Seven Springs Orthopaedics, PC | Orthopaedic Surgery | 2213memorial Blvd., Suite D, Murfreesboro, TN 37129 | 2020-01-29 |
| 1255898185 | Sonja Vanetta Brown Deloatch | Social Worker | 6400 Lebanon Rd, Murfreesboro, TN 37129 | 2019-02-27 |
| 1821560137 | Zachary Ditmarsen | Chiropractor | 803 N Thompson Ln, Suite 103a, Murfreesboro, TN 37129 | 2018-12-27 |
| 1154841575 | Julia Goddeeris | Audiologist | 804 N Thompson Ln, Murfreesboro, TN 37129 | 2017-06-27 |
| 1548713100 | National Vision, Inc. | Technician/Technologist | 1993 Old Fort Pkwy, Murfreesboro, TN 37129 | 2016-08-01 |
| 1437504891 | Journeypure At The River LLC | Substance Abuse Rehabilitation Facility | 5080 Florence Rd, Murfreesboro, TN 37129 | 2016-05-04 |
| 1750763900 | Vilayvanh Saysoukha | Podiatrist | 1155 Kennedy Dr Ste 101, Murfreesboro, TN 37129 | 2015-06-24 |
| Find all providers in zip 37129 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891183174 | Catherine Denise Kirkland | Counselor | 2670 Memorial Blvd Ste F, Murfreesboro, TN 37129-5134 | 2015-01-08 |
| 1598870560 | David E Shaffer | Counselor | 3400 Lebanon Rd, Murfreesboro, TN 37129-1237 | 2006-08-20 |
| 1477565844 | Michael Neal Williams | Counselor | 3400 Lebanon Rd, Murfreesboro, TN 37129-1237 | 2006-08-13 |
| 1356351357 | Alicia Adams Burton | Counselor | 3400 Lebanon Rd, Murfreesboro, TN 37129-1237 | 2006-08-09 |
| 1245240555 | Va Medical Center | Counselor | 3400 Lebanon Rd, Murfreesboro, TN 37129-1237 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073168266 | Tresie Menise Lopez | Counselor | 366 New Byhalia Rd Ste 3a, Collierville, TN 38017-3718 | 2019-08-05 |
| 1578027728 | Jason Devon Milam | Counselor | 4277 Sandstone Dr, Antioch, TN 37013-2259 | 2019-01-22 |
| 1851808455 | David Spencer Thornton | Counselor | 7003 Chadwick Dr Ste 232, Brentwood, TN 37027-3224 | 2018-01-04 |
| 1851825590 | Charliss Mcmorris | Counselor | 2735 S Mendenhall Rd, Suite 8, Memphis, TN 38115-1556 | 2017-04-19 |
| 1780115782 | Brian Hooper | Counselor | 4525 Harding Road, Suite 221, Nashville, TN 37205-2119 | 2017-03-22 |
| 1558730903 | Clay Evans Boyd IIi | Counselor | 302 Sunset Dr Ste 103, Johnson City, TN 37604-2408 | 2015-09-16 |
| 1346625258 | Grief Aftercare Program | Counselor | 2501 Clarksville Pike, Suite 2517, Nashville, TN 37208-1059 | 2015-07-22 |
| 1477947026 | Desdamona Butler | Counselor | 1604 Westgate Cir Ste 240, Brentwood, TN 37027-8578 | 2015-03-21 |
| 1205226313 | Pamela Denise Poteat | Counselor | 333 Fann Rd, Nolensville, TN 37135 | 2015-01-27 |
| 1285974246 | Yolanda Anjnette Robinson | Counselor | 111 Center Park Dr Ste 115, Knoxville, TN 37922-2121 | 2013-02-27 |
| Find all providers with the same taxonomy | ||||
| City | MURFREESBORO |
| Zip Code | 37129 |
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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.