ADAM K FULLER


Address: 191 Overthrust Rd, Evanston, WY 82930-9261
Phone: 4356319918

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
306 WY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WY 118774100 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2078 Prospector Ave, Park City, UT 840607321 4356319918

Other Providers ADAM FULLER

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

Office Location

Street Address 191 OVERTHRUST RD
City EVANSTON
State WY
Zip Code 82930-9261

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City EVANSTON
Zip Code 82930

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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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