MS. TERIA JO FULLER (NPI# 1255845376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255845376 |
| Entity Type | Individual |
| Full Name | MS. TERIA JO FULLER |
| Credential | RN |
| Practice Address |
908 20th St S Birmingham AL 35205-2610 |
| Mailing Address |
908 20th St S Rm 487 Birmingham AL 35205-2610 |
| Practice Telephone | 2059340712 |
| Mailing Telephone | 2059349715 |
| Mailing Fax Number | 2059758950 |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
1-091343 | AL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 1041C0700X | 05 |
| Street Address |
908 20TH ST S |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35205-2610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913805 | Susanne Eileen Fogger | Nurse Practitioner | 908 20th St S, Birmingham, AL 35205-2610 | 2005-06-26 |
| 1366098899 | Stephanie Miles | Psychiatry & Neurology | 908 20th St S, Birmingham, AL 35205-2610 | 2019-08-12 |
| 1679128813 | Erica Richa' Redwine | Social Worker | 908 20th St S, Birmingham, AL 35205-2610 | 2019-08-05 |
| 1093280182 | Richard Morgan Hamrick II | Social Worker | 908 20th St S, Birmingham, AL 35205-2610 | 2018-10-04 |
| 1396225983 | Tyler Anne Castleman | Social Worker | 908 20th St S, Birmingham, AL 35205-2610 | 2018-08-14 |
| 1407352602 | Aeryn Easterling Peck | Nurse Practitioner | 908 20th St S, Birmingham, AL 35205-2610 | 2018-04-05 |
| 1255839023 | Iesha Livinston Brown | Case Manager/Care Coordinator | 908 20th St S, Birmingham, AL 35205-2610 | 2018-01-26 |
| 1629434246 | Heather Louise Logan | Nurse Practitioner | 908 20th St S, Community Care Building, 3rd Floor, Birmingham, AL 35294-2050 | 2016-01-12 |
| 1134502669 | Bethany Pottratz | Social Worker | 908 20th St S, Ccb 4th Fl, Birmingham, AL 35205-2610 | 2015-07-01 |
| 1780067298 | Ayofemi Ward | Family Medicine | 908 20th St S, Birmingham, AL 35294-2050 | 2015-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124547674 | Serve Home Health Care Agency, LLC | In Home Supportive Care | 2230 Green Springs Hwy S, Birmingham, AL 35205 | 2017-09-15 |
| 1457870487 | Marilyn Bennett Pinson | Pharmacist | Walgreens Store #15144, 3020 Clairmont Ave S, Birmingham, AL 35205 | 2017-09-11 |
| 1639522238 | Dana Rives | Speech-Language Pathologist | St. Vincent's, Building 3, Suite 402, Birmingham, AL 35205 | 2016-07-19 |
| 1760854236 | Raymond Herring | Chiropractor | 1226 29th St S, Apt 18, Birmingham, AL 35205 | 2015-10-23 |
| 1083005813 | Absolutely Amazing Salon | Prosthetic/Orthotic Supplier | 2227 Arlington Avenue, Birmingham, AL 35205 | 2015-02-16 |
| 1396141651 | Alexandria Hutchison | Occupational Therapist | 833 Saint Vincent's Drive, Building 3, Suite 200, Birmingham, AL 35205 | 2014-11-14 |
| 1790028199 | Patrick Ross Owens | Otolaryngology | 833 Saint Vincents Dr Ste 402, Birmingham, AL 35205 | 2013-04-03 |
| 1053657452 | David Mitchell Comfort | Urology | 2716 Hanover Circle, Unit 801, Birmingham, AL 35205 | 2012-12-13 |
| 1598023632 | Kathryn Ashley Bentley | Orthopaedic Surgery | 833 St. Vincent's Drive, Bldg 3, Ste 403, Birmingham, AL 35205 | 2012-04-26 |
| 1114298510 | Natalie Elizabeth George | Physician Assistant | 2100 16th Avenue South, 202, Birmingham, AL 35205 | 2012-01-18 |
| Find all providers in zip 35205 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558855999 | Joseph Louis Davidson | Registered Nurse | 908 20th St S Fl 4, Birmingham, AL 35205-2610 | 2018-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940439 | Jill Kathleen Boatwright | Registered Nurse | 201 Avalon Ave, Muscle Shoals, AL 35661-2805 | 2019-12-31 |
| 1760026108 | Hilary Wright Burkett | Registered Nurse | Uab Community Psychiatry, 908 20th Street South Rm 487, Birmin, AL 35294 | 2019-10-29 |
| 1740741727 | Joseph Deak | Registered Nurse | 500 Markaview Rd Nw, Huntsville, AL 35805-3652 | 2019-03-30 |
| 1730530536 | Katina Burton | Registered Nurse | 2731 Martin Luther King Blvd, Tuscaloosa, AL 35401-5235 | 2016-06-23 |
| 1619354982 | Euclid Dudley | Registered Nurse | 200 University Blvd, Tuscaloosa, AL 35401-1250 | 2015-05-06 |
| 1871970186 | Deborah Stalfort | Registered Nurse | 200 University Blvd, Tuscaloosa, AL 35401-1250 | 2015-05-06 |
| 1679980916 | Christie Deanna Hale | Registered Nurse | 1111 Wayne Rd Nw, Suite 6, Huntsville, AL 35806-3567 | 2014-07-18 |
| 1609206705 | Amanda E Carter | Registered Nurse | 2411 S Us Highway 31, Bay Minette, AL 36507-8258 | 2013-11-26 |
| 1700122553 | Ava Michelle Dirickson | Registered Nurse | 101 Coliseum Blvd, Montgomery, AL 36109-2707 | 2012-12-26 |
| 1417230087 | Elizabeth Ann Parker | Registered Nurse | 372 Greeno Rd S, Fairhope, AL 36532-1916 | 2011-09-21 |
| Find all providers with the same taxonomy | ||||
| City | BIRMINGHAM |
| Zip Code | 35205 |
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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.