Kelly E Fuller (NPI# 1144793407, PAC ID# 7113264482) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1144793407 |
| PAC ID by PECOS | 7113264482 |
| Professional Enrollment ID | I20190124000600 |
| Full Name | Kelly E Fuller |
| Organization Legal Name | CIRCLES OF CARE INC |
| Address |
400 E Sheridan Rd Melbourne FL 32901-3122 |
| Phone Number | 3217233910 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8729069380 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 400 E Sheridan Rd, Melbourne, FL 32901-3122 | 3217233910 | CIRCLES OF CARE INC |
| 2020 Commerce Dr, West Melbourne, FL 32904-2335 | 3219526000 | CIRCLES OF CARE INC |
| Organization Legal Name | CIRCLES OF CARE INC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roberta Van Dusen | Clinical Social Worker | Circles of Care Inc | 400 E Sheridan Rd, Melbourne, FL 32901-3122 |
| Bethann Mahoney | Psychiatry | Circles of Care Inc | 1770 Cedar St, Rockledge, FL 32955-3133 |
| Davina A Bedsole | Psychologist, Clinical | Circles of Care Inc | 2020 Commerce Dr, West Melbourne, FL 32904-2335 |
| Georgia Shifflette | Nurse Practitioner | Circles of Care Inc | 2000 Commerce Dr, West Melbourne, FL 32904-2335 |
| James A Miller Jr. | Psychiatry | Circles of Care Inc | 6700 S Us Hwy 1, Titusville, FL 32780-8050 |
| Laura N Vaughn | Psychologist, Clinical | Circles of Care Inc | 400 E Sheridan Rd, Melbourne, FL 32901-3122 |
| Sajida Mathew | Psychiatry | Circles of Care Inc | 400 E Sheridan Rd, Melbourne, FL 32901-3122 |
| Paula Deforest | Psychologist, Clinical | Circles of Care Inc | 2020 Commerce Dr, West Melbourne, FL 32904-2335 |
| Jose J Alvarez | Psychiatry | Circles of Care Inc | 400 E Sheridan Rd, Melbourne, FL 32901-3122 |
| Jason C Wieseler | Psychologist, Clinical | Circles of Care Inc | 400 E Sheridan Rd, Melbourne, FL 32901-3122 |
| Street Address |
400 E SHERIDAN RD |
| City | MELBOURNE |
| State | FL |
| Zip | 32901-3122 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roberta Van Dusen | Clinical Social Worker | Circles of Care Inc | 400 E Sheridan Rd, Melbourne, FL 32901-3122 |
| Laura N Vaughn | Psychologist, Clinical | Circles of Care Inc | 400 E Sheridan Rd, Melbourne, FL 32901-3122 |
| Sajida Mathew | Psychiatry | Circles of Care Inc | 400 E Sheridan Rd, Melbourne, FL 32901-3122 |
| Jose J Alvarez | Psychiatry | Circles of Care Inc | 400 E Sheridan Rd, Melbourne, FL 32901-3122 |
| Jason C Wieseler | Psychologist, Clinical | Circles of Care Inc | 400 E Sheridan Rd, Melbourne, FL 32901-3122 |
| Nancy A Thompson | Nurse Practitioner | Circles of Care Inc | 400 E Sheridan Rd, Melbourne, FL 32901-3122 |
| Jill Wang | Nurse Practitioner | Circles of Care Inc | 400 E Sheridan Rd, Melbourne, FL 32901-3122 |
| Rehan Farooqui | Psychiatry | Circles of Care Inc | 400 E Sheridan Rd, Melbourne, FL 32901-3122 |
| Miriam Mier | Clinical Social Worker | Circles of Care Inc | 400 E Sheridan Rd, Melbourne, FL 32901-3122 |
| Carol J Fairchild | Nurse Practitioner | Circles of Care Inc | 400 E Sheridan Rd, Melbourne, FL 32901-3122 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony R Else | Physical Therapy | 18 W Ave 'b' Unit, Suite 4, Melbourne, FL 32901-1219 | |
| Yanqing Gu | Internal Medicine | 551 S Apollo Blvd, Suite 103, Melbourne, FL 32901-1274 | |
| Richard J Wecker | Chiropractic | 551 S Apollo Blvd, Suite 105, Melbourne, FL 32901-1274 | |
| Ralph Zipper | Urology | Ralph Zipper Md Pa | 200 S Harbor City Blvd, Suite 401, Melbourne, FL 32901-1389 |
| James Loras Raders | Obstetrics/gynecology | Ralph Zipper Md Pa | 200 S Harbor City Blvd, Suite 401, Melbourne, FL 32901-1389 |
| Brian J Mallette | Podiatry | 200 S Harbor City Blvd, Suite 102, Melbourne, FL 32901-1389 | |
| Claudia R Mallette | Podiatry | 200 S Harbor City Blvd, Suite 102, Melbourne, FL 32901-1389 | |
| Ana Marisol Conde Rosa | Infectious Disease | Project Response Inc | 745 S Apollo Blvd, Melbourne, FL 32901-1457 |
| Monica L Wise | Nurse Practitioner | Quality Medical Care Pa | 675 S Babcock St, Melbourne, FL 32901-1459 |
| Heather M Weeks | Nurse Practitioner | Quality Medical Care Pa | 675 S Babcock St, Melbourne, FL 32901-1459 |
| Find all physicians in zip 32901 | |||
| City | MELBOURNE |
| Zip Code | 32901 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MELBOURNE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelly E Fuller.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.