MS. TORIE ANN FULLER


Address: 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007
Phone: 4053959303

MS. TORIE ANN FULLER (NPI# 1053745646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053745646
Entity Type Individual
Full Name MS. TORIE ANN FULLER
Credential M.S., R.D.
Practice Address 2307 Gordon Cooper Dr
Shawnee
OK 74801-9007
Practice Telephone 4053959303
Practice Fax Number 4053959305
Mailing Telephone 4053959303
Mailing Fax Number 4053959305
Enumeration Date 2013-08-30
Last Update Date 2013-09-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 669 OK Dietary & Nutritional Service Providers

Office Location

Street Address 2307 GORDON COOPER DR
City SHAWNEE
State OK
Zip Code 74801-9007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598752503 Kent H Potts Internal Medicine 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 2005-10-04
1619505179 Kiley Nicole Henderson Licensed Practical Nurse 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 2020-03-31
1801422944 Joni Pataki Licensed Practical Nurse 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 2020-03-20
1265063960 Stephanie Alvillar Nurse Practitioner 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 2020-01-31
1629618640 Savannah Nycole Bagwell Licensed Practical Nurse 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 2020-01-07
1770130379 Darci Leigh Jenkins Licensed Practical Nurse 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 2019-08-20
1356997423 Christina Marie Trout Registered Nurse 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 2019-08-14
1720630262 Dayna Kathleen Grandstaff Licensed Practical Nurse 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 2019-07-15
1891251575 Monica Jinkins Licensed Practical Nurse 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 2019-02-18
1700351392 Shelby Janae Parsons Registered Nurse 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 2018-10-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538609037 Melissa Lanier Specialist 801 N. Louisa, Shawnee, OK 74801 2017-03-02
1518365287 Melanie A. Croy Counselor 1605 N. Harrison, Shawnee, OK 74801 2014-12-12
1134532229 Megan Malouf Registered Nurse 2307 Gordon Cooper Dr., Shawnee, OK 74801 2014-06-05
1063836609 Daniel Antwain Shaw Counselor 605 S. Pottenger Ave, Shawnee, OK 74801 2014-02-18
1639514862 Cheryl Jeannette Left Hand Counselor 101 N. Union, Shawnee, OK 74801 2013-05-01
1881948644 Lena I Samilton Counselor 319 S. Kennedy Ave., Apt.112, Shawnee, OK 74801 2012-11-01
1235433681 Jenifer Sloan Case Manager/Care Coordinator 2029 S. Gordon Cooper Dr., Shawnee, OK 74801 2010-12-28
1295854958 Jack C Luman Dentist 1410 N Harrison St, Shawnee, OK 74801 2007-03-27
1942375274 M Gerald Ball Psychologist 819 North Kickapoo, Shawnee, OK 74801 2006-11-21
1205912573 Regina Steciak Tanner Physical Therapist 909 N Kickapoo, Shawnee, OK 74801 2006-10-31
Find all providers in zip 74801

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255772059 Laura E Hernandez Dietitian, Registered 7100 Aminda Dr, Shawnee, KS 66227-2116 2013-07-10
1568695401 Judy Ann Wegman Dietitian, Registered 18601 Midland Drive, Shawnee, KS 66218 2009-08-26
1164686655 Carrye Luree Wells Dietitian, Registered 804 E Georgia St, Shawnee, OK 74804-3039 2008-07-14
1639266414 Nichole Rene' Johnson Dietitian, Registered 2 E. Main Street, Shawnee, OK 74801 2006-10-05
1407322860 Taylor Conrad Dietitian, Registered 7405 Renner Rd, Shawnee, KS 66217-9414 2018-10-23
1942795448 Magdelon Gilbert Dietitian, Registered 2345 Gordon Cooper Dr, Shawnee, OK 74801-9007 2018-06-27
1558727602 Morgan Blackstock Dietitian, Registered 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 2016-01-05
1255709580 Madison Dahl Dietitian, Registered 7405 Renner Rd, Shawnee, KS 66217-9414 2015-09-03
1568802098 Jennifer Laura Wade Dietitian, Registered 13550 W 63rd St, Shawnee, KS 66216-3814 2013-06-28
1073958955 Nicole Gwen Joyner Dietitian, Registered 13550 W 63rd St, Hy-vee, Inc., Shawnee, KS 66216-3814 2013-05-06
Find all providers in SHAWNEE

Competitor

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City SHAWNEE
Zip Code 74801

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Dataset Information

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.

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