ADAM K FULLER (NPI# 1255476131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255476131 |
Entity Type | Individual |
Full Name | ADAM K FULLER |
Credential | PH.D. |
Practice Address |
191 Overthrust Rd Evanston WY 82930-9261 |
Mailing Address |
235 Hayden Ave Evanston WY 82930-5606 |
Practice Telephone | 4356319918 |
Mailing Telephone | 4356319918 |
Enumeration Date | 2007-02-20 |
Last Update Date | 2018-03-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
306 | WY | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WY | 118774100 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
2078 Prospector Ave, Park City, UT 840607321 | 4356319918 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578688545 | Adam Fredrick Fuller | Dentist | 3223 E 29th Street, Des Moines, IA 50317 | 2007-03-20 |
1386934669 | Adam Joshua Fuller | Acupuncturist | 5005 Texas St Ste 101, San Diego, CA 92108-3722 | 2011-04-08 |
Street Address |
191 OVERTHRUST RD |
City | EVANSTON |
State | WY |
Zip Code | 82930-9261 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407832728 | Jason P Haack | Otolaryngology | 191 Overthrust Rd, Evanston, WY 82930-9261 | 2005-12-19 |
1669947610 | Stacy Jo Kennedy | Nurse Practitioner | 191 Overthrust Rd, Evanston, WY 82930-9261 | 2018-10-05 |
1194226266 | High Desert Psychology and Wellness | Clinic/Center | 191 Overthrust Rd, Evanston, WY 82930-9261 | 2018-02-23 |
1790172807 | Uinta Health Lab, LLC | Clinical Medical Laboratory | 191 Overthrust Rd, Evanston, WY 82930-9261 | 2015-04-16 |
1023404514 | Utah Podiatry Group PC | Podiatrist | 191 Overthrust Rd, Evanston, WY 82930-9261 | 2015-04-10 |
1962804443 | Barker Family Health, LLC | Nurse Practitioner | 191 Overthrust Rd, Evanston, WY 82930-9261 | 2014-09-16 |
1790067999 | Corrie Carver | Nurse Practitioner | 191 Overthrust Rd, Evanston, WY 82930-9261 | 2011-09-13 |
1730335423 | Southwest Wyoming Ent Inc | Otolaryngology | 191 Overthrust Rd, Evanston, WY 82930-9261 | 2008-08-13 |
1144328949 | Jared Breck Barton | Surgery | 191 Overthrust Rd, Evanston, WY 82930-9261 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
1588959324 | Mejia D Williams | Social Worker | 190 Overthrust Road, Evanston, WY 82930 | 2011-06-09 |
1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
Find all providers in zip 82930 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861007049 | Heloisa Garman | Psychologist | 800 Elgin Rd Apt 1611, Evanston, IL 60201-5632 | 2020-09-14 |
1992346233 | Kiran Ramesh Mirchandani | Psychologist | 1740 Ridge Ave Ste 22, Evanston, IL 60201-5918 | 2019-10-07 |
1982181533 | Melissa Perrin | Psychologist | 2530 Crawford Ave Ste 203, Evanston, IL 60201-4959 | 2018-07-26 |
1689165250 | Mona Sue Weissmark | Psychologist | 737 Clinton Pl, Evanston, IL 60201-1765 | 2018-05-19 |
1063920957 | Tamara Miriam Claman | Psychologist | 1718 Sherman Ave Ste 210, Evanston, IL 60201-5610 | 2018-01-13 |
1619480720 | Kaelin Emery | Psychologist | 820 Davis St Ste 455, Evanston, IL 60201-4447 | 2017-11-10 |
1861905051 | Dr. Tari Mack, Inc. | Psychologist | 636 Church St Ste 415, Evanston, IL 60201-4580 | 2017-11-09 |
1639535396 | Alissa Levy Chung, Ph.d., Inc. | Psychologist | 704 South Blvd, Evanston, IL 60202-2908 | 2016-01-12 |
1114359213 | Dr Savage Psychological Services PC | Psychologist | 2550 Crawford Ave Ste 12, Evanston, IL 60201-4987 | 2013-07-31 |
1710320080 | Marni B Rosen | Psychologist | 2130 Green Bay Rd, Evanston, IL 60201-3026 | 2013-04-16 |
Find all providers in EVANSTON |
Please comment or provide details below to improve the information on ADAM K FULLER.
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.