MELISSA L FULLER (NPI# 1912308644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912308644 |
| Entity Type | Individual |
| Full Name | MELISSA L FULLER |
| Credential | MS,LPC,NCC |
| Practice Address |
1535 Ne Rice Rd Lees Summit MO 64086-5849 |
| Practice Telephone | 8169660900 |
| Mailing Telephone | 8169660900 |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2017038398 | MO | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
LPC.0011928 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 62984853 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4689 W 20th St, Unit D, Greeley, CO 806343218 | 9704934580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023668076 | Melissa Portia Fuller | Counselor | 8270 S 10th St, Kalamazoo, MI 49009-9729 | 2019-09-11 |
| 1831329804 | Melissa Lynn Fuller | Nurse Practitioner | 4045 Avenue B, Billings, MT 59106-1738 | 2009-07-23 |
| 1477078459 | Melissa Sue Fuller | Clinic/Center | 133 Margaret St, Plattsburgh, NY 12901-2926 | 2017-08-10 |
| 1932514361 | Melissa Fuller | Physical Therapy Assistant | 5230 Willow Creek Dr, Ste. 101, Springdale, AR 72762-0876 | 2014-06-24 |
| 1558611699 | Melissa S Fuller | Genetic Counselor, MS | 525 Bob Peters Grv Ste 309, Colorado Springs, CO 80909 | 2012-09-17 |
| 1992964076 | Melissa Fuller | Audiologist | 43 Baxter Blvd, Maine Medical Partners Otolaryngology, Portland, ME 04101 | 2008-06-04 |
| 1316066863 | Melissa Fuller | Registered Nurse | 813 Fay Rd, Syracuse, NY 13219-3009 | 2007-03-28 |
| 1275680084 | Melissa Emily Fuller | Pediatrics | 741 President Place, Suite 210, Smyrna, TN 37167 | 2007-01-04 |
| Street Address |
1535 NE RICE RD |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64086-5849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366522260 | Christine L Carr | Social Worker | 1535 Ne Rice Rd, Lees Summit, MO 64086-5849 | 2006-10-16 |
| 1831704659 | Michael J Wilkerson | Social Worker | 1535 Ne Rice Rd, Lees Summit, MO 64086-5849 | 2020-09-09 |
| 1912447004 | Kendra Deanne Davis-leighty | Social Worker | 1535 Ne Rice Rd, Lees Summit, MO 64086-5849 | 2017-03-08 |
| 1346639630 | Kristen Harmon-dody | Counselor | 1535 Ne Rice Rd, Lees Summit, MO 64086-5849 | 2015-01-09 |
| 1518363373 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1535 Ne Rice Rd, Suite A, Lees Summit, MO 64086-5849 | 2014-11-06 |
| 1457611410 | Lee Austin Harris | Counselor | 1535 Ne Rice Rd, Lees Summit, MO 64086-5849 | 2012-05-24 |
| 1013062256 | Angelia D Collins | Social Worker | 1535 Ne Rice Rd, Lees Summit, MO 64086-5849 | 2007-01-25 |
| 1306997010 | Sue Laura Severance | Social Worker | 1535 Ne Rice Rd, Lees Summit, MO 64086-5849 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821057 | David L Harrison | Pharmacist | 6 Nw Sycamore St Ste A, Lees Summit, MO 64086 | 2019-10-08 |
| 1770069403 | Foster Family Pharmacy | Pharmacy | 6 Nw Sycamore St., Suite A, Lee's Summit, MO 64086 | 2018-07-16 |
| 1255716221 | Summit Eye Center, LLC | Ophthalmology | 1621 Nw Blue Parkway, Lees Summit, MO 64086 | 2015-07-20 |
| 1679954085 | Day By Day Staff Relief, LLC | Hospice Care, Community Based | 943 Ne Columbus Street, Lees Summit, MO 64086 | 2015-06-11 |
| 1831505544 | Johnathan Almeida | Emergency Medicine | 100 Ne St Lukes Blvd, Emergency Department, Lees Summit, MO 64086 | 2014-07-02 |
| 1215358429 | Alex Sharifian Dds Summit Modern Dentistry PC | Dentist | 940 Nw Blue Parkway, Suite A, Lee's Summit, MO 64086 | 2013-12-16 |
| 1477807303 | Lauren M Lee | Nurse Practitioner | 1425 Nw Blue Parkway, Lee's Summit, MO 64086 | 2012-10-30 |
| 1396016507 | Retha Rene Rudloff | General Practice | 1728 N.e. Misty Lane, Lee's Summit, MO 64086 | 2012-01-19 |
| 1629351200 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 691 Nw Blue Pkwy, Lees Summit, MO 64086 | 2011-09-21 |
| 1497054308 | Jennifer Nelson | Physical Therapist | 301 Ne Tudor, Lee's Summit, MO 64086 | 2011-03-17 |
| Find all providers in zip 64086 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619503901 | Janelle Cowles | Counselor | 520 Se Brentwood Dr, Lees Summit, MO 64063-4419 | 2020-03-18 |
| 1255970018 | Leah Krieger | Counselor | 211 Nw Executive Way Ste D, Lees Summit, MO 64063-1846 | 2019-12-26 |
| 1497234157 | Marissa Lynn Ebeling | Counselor | 1555 Ne Rice Rd Ste C, Lees Summit, MO 64086-5810 | 2018-08-13 |
| 1194204537 | Aubrey Leah Corona | Counselor | 529 Se 2nd St # Streetd, Lees Summit, MO 64063-2694 | 2018-08-07 |
| 1720565179 | Yvonne Nuffer | Counselor | 304 Sw Persels Rd, Lees Summit, MO 64081 | 2018-07-27 |
| 1285132696 | Amber Utter Counseling LLC | Counselor | 9220 Cyclone School Rd, Lees Summit, MO 64064-2611 | 2018-01-31 |
| 1235680968 | Kali Keilbey | Counselor | 600 Nw Murray Rd Ste 110, Lees Summit, MO 64081-1238 | 2016-10-18 |
| 1467909796 | Amber Utter | Counselor | 656 Se Bayberry Ln Ste 105, Lees Summit, MO 64063-4300 | 2016-09-02 |
| 1386010601 | Valerie Bailey Hamaker | Counselor | 2421 Ne Lake Breeze Dr, Lees Summit, MO 64086-7066 | 2015-08-20 |
| 1811382914 | Jenna Foraker,lpc, LLC | Counselor | 202 Se 2nd St, Lees Summit, MO 64063-2750 | 2015-04-06 |
| Find all providers in LEES SUMMIT | ||||
| City | LEES SUMMIT |
| Zip Code | 64086 |
Please comment or provide details below to improve the information on MELISSA L FULLER.
| 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.