MARY N. FULLER (NPI# 1245775428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245775428 |
| Entity Type | Individual |
| Full Name | MARY N. FULLER |
| Practice Address |
109 Daniel Dr Danville KY 40422 |
| Mailing Address |
Po Box 990 Danville KY 40423-0990 |
| Practice Telephone | 8592363361 |
| Mailing Telephone | 8592392360 |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2019-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 3010827 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4205 Springhurst Blvd Ste 101, Louisville, KY 402416159 | 5022907246 | 5022907252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
| 1295052009 | Mary Elizabeth Fuller | Physical Therapist | 300 N Virginia St, Port Lavaca, TX 77979-3449 | 2010-05-03 |
| 1013113133 | Mary Ann Fuller | Dietitian, Registered | 415 Springtree Rd, Lake Dallas, TX 75065-2392 | 2007-06-25 |
| 1902938525 | Mary E Fuller | Marriage & Family Therapist | 835 Sorrelwood Ct, Westlake Village, CA 91361-1840 | 2007-03-09 |
| 1538130984 | Mary Margaret Fuller | Counselor | 40347 Us Highway 19 N Ste 103, Tarpon Springs, FL 34689-4841 | 2006-02-01 |
| 1497364053 | Mary Fuller | Preventive Medicine | 110 N Burr Blvd, Kewanee, IL 61443-2214 | 2020-07-29 |
| 1639723240 | Mary Cassandra Fuller | Nurse Practitioner | 4499 Medical Dr, San Antonio, TX 78229-3735 | 2019-07-31 |
| 1326503707 | Mary Alise Fuller | Technician | 3030 30th St Se, Washington, DC 20020-1674 | 2019-02-09 |
| 1285034058 | Mary Fuller | Registered Nurse | 495 Congress Ave, New Haven, CT 06519-1312 | 2014-08-29 |
| 1689913774 | Mary Ellen Fuller | Occupational Therapist | 1 Freedom Way, Active Duty Rehab Unit (27), Augusta, GA 30904-6258 | 2013-02-08 |
| Street Address |
109 DANIEL DR |
| City | DANVILLE |
| State | KY |
| Zip Code | 40422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609816826 | Barbara Ann Bern | Physician Assistant | 109 Daniel Dr, Danville, KY 40422-2527 | 2006-06-07 |
| 1669016572 | Emily Hines | Nurse Practitioner | 109 Daniel Dr, Danville, KY 40422-2527 | 2019-11-04 |
| 1417436221 | Emhfl, Inc. | Physician Assistant | 109 Daniel Dr, Danville, KY 40422-2527 | 2018-08-13 |
| 1720214489 | Virginia King Purdom | Family Medicine | 109 Daniel Dr, Danville, KY 40422-2527 | 2009-06-08 |
| 1003069519 | Gina M Alexander | Social Worker | 109 Daniel Dr, Danville, KY 40422-2527 | 2008-10-28 |
| 1083740377 | Michael Brennan Royalty | Emergency Medicine | 109 Daniel Dr, Danville, KY 40422-2527 | 2007-02-23 |
| 1487708533 | Ephraim Mcdowell Health Resource, Inc. | Nurse Practitioner | 109 Daniel Dr, Danville, KY 40422-2527 | 2007-01-23 |
| 1154415156 | Jonathan Clark | Family Medicine | 109 Daniel Dr, Danville, KY 40422-2527 | 2006-10-03 |
| 1912091901 | Joan Arnold | Nurse Practitioner | 109 Daniel Dr, Danville, KY 40422-2527 | 2006-10-03 |
| 1013024280 | Vera S King | Nurse Practitioner | 109 Daniel Dr, Danville, KY 40422-2527 | 2006-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098754 | Healthstat Onsite Clinic Centre College | Preventive Medicine | 851 West Walnut St, Danville, KY 40422 | 2020-03-19 |
| 1134772288 | Austin Simpson | Physician Assistant | 217 South 3rd Street, Danville, KY 40422 | 2019-07-18 |
| 1033677695 | Shannon Holland Erwin | Counselor | 475 W Main St Suite 160, Danville, KY 40422 | 2019-03-03 |
| 1225556871 | Fallon Michelle Carnes | Counselor | 106 Belinda Blvd., Danville, KY 40422 | 2017-09-05 |
| 1780124529 | Natasha Taylor | Counselor | 461 South 4th Street, Danville, KY 40422 | 2017-02-27 |
| 1184088890 | Elizabeth Love | Counselor | 108 Saint Josephs Ct, Danville, KY 40422 | 2016-04-08 |
| 1801274550 | Jeremy Tate Johnson | Specialist/Technologist | 1637 Perryville Rd., Boyle County High School, Danville, KY 40422 | 2015-05-14 |
| 1649602228 | Susan Hale Couzens | Dentist | 435 Whirlaway Dr, Danville, KY 40422 | 2013-08-06 |
| 1265751200 | William Paul Baas | Ophthalmology | 440 W. Martin L. King Blvd., Suite 100, Danville, KY 40422 | 2010-05-28 |
| 1780823666 | Karen Totsuka IIi | Speech-Language Pathologist | 642 Nth 3rd St, Danville, KY 40422 | 2009-02-17 |
| Find all providers in zip 40422 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497376941 | Jinean Tanette Barnes | Nurse Practitioner | 501 Rison St Ste 130, Danville, VA 24541-2426 | 2020-05-06 |
| 1811458003 | Donna Marie Lamb | Nurse Practitioner | 852 Crosshill Rd, Danville, KY 40422-1135 | 2019-03-29 |
| 1982174900 | Cynthia Davis Barker | Nurse Practitioner | 109 Bridge St # 202, Danville, VA 24541-1222 | 2018-12-03 |
| 1861976391 | Amilynn Britton | Nurse Practitioner | 100 Montour St, Danville, PA 17821-1017 | 2018-09-20 |
| 1538436092 | Marilyn Wade-foster | Nurse Practitioner | 501 Rison Street, Ste 100, Danville, VA 24541-2426 | 2011-11-28 |
| 1174709018 | Laura L Ayers | Nurse Practitioner | 441 Piney Forest Rd Ste G, Danville, VA 24540-4154 | 2008-01-10 |
| 1134344864 | Rebecca C. Metcalf | Nurse Practitioner | 304 Market St, The Sanctuary, Danville, OH 43014-9649 | 2007-04-16 |
| 1073639936 | Hendricks Regional Health | Nurse Practitioner | 1000 E Main Street, Danville, IN 46122-1948 | 2007-03-22 |
| 1801801568 | Mary Cay Bolser | Nurse Practitioner | 311 W Fairchild St, Danville, IL 61832-3876 | 2006-07-30 |
| 1316963572 | Ruth A Woroch | Nurse Practitioner | 1901 E Voorhees St, Suite 1159, Danville, IL 61834-4509 | 2006-07-14 |
| Find all providers in DANVILLE | ||||
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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.