ANDREA FULLER (NPI# 1174821201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174821201 |
| Entity Type | Individual |
| Full Name | ANDREA FULLER |
| Practice Address |
25 N Winfield Road Winfield IL 60190 |
| Practice Telephone | 6309331600 |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2013-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209008666 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528058385 | Andrea J Fuller | Nurse Practitioner | 590 Historic Old Hwy 441, Demorest, GA 30535 | 2005-10-24 |
| 1558811711 | Andrea Nicole Fuller | Physician Assistant | 911 23rd St, Canyon, TX 79015-4645 | 2016-10-11 |
| 1063754133 | Andrea Kay Fuller | Anesthesiology | 410 W 10th Ave, Columbus, OH 43210-1240 | 2013-03-26 |
| 1548381569 | Andrea Fuller | Marriage & Family Therapist | 621 Forest Ave, Pacific Grove, CA 93950-4264 | 2007-04-03 |
| 1881685543 | Andrea Fuller | Physical Therapist | 3851 Roger Brooke Dr, Mche-qd/credentials, Fort Sam Houston, TX 78234-4501 | 2005-11-02 |
| Street Address |
25 N WINFIELD ROAD |
| City | WINFIELD |
| State | IL |
| Zip Code | 60190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073514360 | Thomas A. Eiseman | Emergency Medicine | 25 N Winfield Road, Winfield, IL 60190 | 2005-08-09 |
| 1750813580 | Ingrid Kanady | Nurse Practitioner | 25 N Winfield Road, Winfield, IL 60190-1295 | 2017-03-30 |
| 1447647201 | Sarah Liljeberg | Nurse Practitioner | 25 N Winfield Road, Ste 420, Winfield, IL 60190-1295 | 2015-04-20 |
| 1174878896 | Kristin Lynn Rosenberger | Physical Therapist | 25 N Winfield Road, Winfield, IL 60190-1295 | 2012-07-18 |
| 1831463975 | Central Dupage Hospital | General Acute Care Hospital | 25 N Winfield Road, Winfield, IL 60190 | 2012-03-07 |
| 1841587599 | Brian Christopher Fort | Emergency Medicine | 25 N Winfield Road, Winfield, IL 60190 | 2011-07-01 |
| 1790017085 | Lee Michael De Dore | Physician Assistant | 25 N Winfield Road, Suite 505, Winfield, IL 60190 | 2010-02-11 |
| 1871823971 | Jennifer Aileen Chiaramonte | Speech-Language Pathologist | 25 N Winfield Road, Winfield, IL 60190 | 2010-01-12 |
| 1194981019 | Joshua A Blomgren | Family Medicine | 25 N Winfield Road, Winfield, IL 60190-1295 | 2008-07-30 |
| 1679735104 | Jeffrey Michael Ksiazek | Otolaryngology | 25 N Winfield Road, #519, Winfield, IL 60190 | 2008-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592256 | Kelly Marie Jung | Nurse Practitioner | 25 N Winfield Rd Ste 500, Winfield, IL 60190 | 2019-08-07 |
| 1003379660 | Genevieve Goro | Speech-Language Pathologist | In220 Pleasant Hill Rd, Winfield, IL 60190 | 2019-04-10 |
| 1730670175 | Brian J Fischer | Physical Therapist | 26w228 Geneva Road, Winfield, IL 60190 | 2018-05-22 |
| 1730625500 | Johnson Medical Services S.c. | Family Medicine | 27 W 132 Barnes Ave/, Winfield, IL 60190 | 2017-01-17 |
| 1992253843 | Dr. Roy Settergren S.c. | Chiropractor | 27w123 Redbud Lane, Winfield, IL 60190 | 2016-09-20 |
| 1952855223 | Terri Hannemann | Nurse Practitioner | 25 North Winfield Road, Central Dupage Hospital, Winfield, IL 60190 | 2016-08-04 |
| 1154730737 | Cynthia Koeppen | Registered Nurse | 27w281 Winfield Rd, Winfield, IL 60190 | 2014-08-07 |
| 1992117634 | Jonathan Wang | Internal Medicine | 25 N Winfield Rd Ste 202, Winfield, IL 60190 | 2014-05-29 |
| 1689005977 | Erin Sands | Physician Assistant | 25 N Winfield Rd Ste 519, Winfield, IL 60190 | 2013-12-11 |
| 1790120285 | Clarity Health & Wellness | Social Worker | 1 N. 121 County Farm Road, Suite 220, Winfield, IL 60190 | 2013-05-09 |
| Find all providers in zip 60190 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462070 | Lindsey King | Nurse Practitioner | 122 Waterside Cir, Winfield, WV 25213-9551 | 2020-09-19 |
| 1114588845 | Regina Dwn Davis | Nurse Practitioner | 72 Blackberry Ln, Winfield, WV 25213-9364 | 2019-06-24 |
| 1639607120 | Kristan Blake May | Nurse Practitioner | 125 Henry Ln, Winfield, AL 35594-9028 | 2017-05-26 |
| 1952855223 | Terri Hannemann | Nurse Practitioner | 25 North Winfield Road, Central Dupage Hospital, Winfield, IL 60190 | 2016-08-04 |
| 1275939829 | Sarah Michelle Swisher | Nurse Practitioner | 16 Dartmouth St, Winfield, WV 25213 | 2014-11-10 |
| 1346516259 | Jamie A Harrington | Nurse Practitioner | 1230 E 6th Ave Ste 2d, Winfield, KS 67156-3145 | 2012-03-25 |
| 1861499899 | Teresa Smith | Nurse Practitioner | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2005-07-05 |
| 1396358412 | Stephanie Bryan | Nurse Practitioner | 25 N Winfield Rd, Winfield, IL 60190-1379 | 2020-08-28 |
| 1588288245 | Laura Michelle Thielen | Nurse Practitioner | 1700 E 9th Ave, Winfield, KS 67156-3220 | 2020-05-28 |
| 1457972622 | Blair D G Watkins | Nurse Practitioner | 1809 Main St, Winfield, KS 67156-4935 | 2020-04-29 |
| Find all providers in WINFIELD | ||||
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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.