MR. KEVIN POWELL FULLER I (NPI# 1962737940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962737940 |
| Entity Type | Individual |
| Full Name | MR. KEVIN POWELL FULLER I |
| Other Name | MR. KEVIN FULLER |
| Practice Address |
1839 Zarker St Harrisburg PA 17104-1351 |
| Practice Telephone | 7173792546 |
| Mailing Telephone | 7173792546 |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2009-10-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | 271077801 | PA | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 271077801 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952833121 | Kevin Antonio Fuller | Counselor | 339 Magic Oaks Ct, Spring, TX 77388-8921 | 2017-03-28 |
| 1417119652 | Kevin S Fuller | Physician Assistant | 13135 Lee Jackson Memorial Hwy Ste 305, Fairfax, VA 22033-1907 | 2008-06-30 |
| Street Address |
1839 ZARKER ST |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17104-1351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531292 | Siddharth Goel | Internal Medicine | 205 S Front St Upmc Pinnacle, Internal Medicine Residen, Suite 3c, Harrisburg, PA 17104 | 2020-06-03 |
| 1114541364 | Kolsoum Yari | Student in an Organized Health Care Education/Training Program | 205 S Front St, Suite 3c Upmc Pinnacle Internal Medicin, Harrisburg, PA 17104 | 2020-06-03 |
| 1225652696 | Uba Chinyere Udeh | Internal Medicine | 205 S Front St. Suite 3c, Harrisburg, PA 17104 | 2020-06-02 |
| 1568086932 | Firdausi Abubakar Matawalle | Student in an Organized Health Care Education/Training Program | 205 S Front Street, Suite 3c Upmc Pinnacle Hospital, Harrisburg, PA 17104 | 2020-06-02 |
| 1467075853 | Medhavi Rajput | Student in an Organized Health Care Education/Training Program | 205 S Front St, Suite 3c Upmc Pinnacle, Internal Medici, Harrisburg, PA 17104 | 2020-05-20 |
| 1659992147 | Manpreet Sidhu | Internal Medicine | Upmc Pinnacle Hospitals 205 S Front Street, Suite 3c, Harrisburg, PA 17104 | 2020-05-06 |
| 1336760230 | Mahaswi Sirangi | Internal Medicine | Upmc Pinnacle Hospitals, 205 S Front Street, Suite 3c, Harrisburg, PA 17104 | 2020-05-01 |
| 1033748488 | Abhishek Patel | Emergency Medicine | 205 South Front Street Brady 3, Harrisburg, PA 17104 | 2020-04-07 |
| 1306496443 | Jinah Kim | Student in an Organized Health Care Education/Training Program | 205 S. Front St., Brady Building, Harrisburg, PA 17104 | 2019-09-19 |
| 1356903744 | Krupa Patel | Podiatrist | 205 S Front Street Brady Hall 905, Harrisburg, PA 17104 | 2019-07-05 |
| Find all providers in zip 17104 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437837 | Bethel Inc | Home Health Aide | 2001 N Front St Ste 214, Harrisburg, PA 17102-2189 | 2020-11-01 |
| 1467088757 | Stacy Harris | Home Health Aide | 900 S Arlington Ave Rm 144b, Harrisburg, PA 17109-5030 | 2020-03-18 |
| 1801435136 | Jasmine White | Home Health Aide | 41 N 20th St, Harrisburg, PA 17103-2512 | 2020-01-03 |
| 1750941399 | Grace Stevenson | Home Health Aide | 5602 Locust Ln, Harrisburg, PA 17109-5624 | 2019-06-17 |
| 1871056325 | All About You Home Care Agency Inc | Home Health Aide | 2358 Magnolia Ter, Harrisburg, PA 17110-9308 | 2019-04-11 |
| 1487117131 | Leonard Jason Davenport Jr. | Home Health Aide | 3109 Braeburn Ln, Harrisburg, PA 17110-9117 | 2019-04-10 |
| 1891262317 | Nancy Ngige | Home Health Aide | 2395 Sun Dr, Harrisburg, PA 17109-1813 | 2018-11-02 |
| 1265923130 | Gods Children Ministry Hha LLC | Home Health Aide | 202 State St Ste 2, Harrisburg, PA 17101-1103 | 2018-05-25 |
| 1821597816 | Pamela Ann Tonsel | Home Health Aide | 3218 Wakefield Rd, Harrisburg, PA 17109-6119 | 2018-02-06 |
| 1437661428 | Chante Jones | Home Health Aide | 1953 Manada St, Harrisburg, PA 17104-2949 | 2017-10-30 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17104 |
Please comment or provide details below to improve the information on MR. KEVIN POWELL FULLER I.
| 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.