MRS. SUSAN FULLER (NPI# 1366437303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366437303 |
Entity Type | Individual |
Full Name | MRS. SUSAN FULLER |
Credential | RNC WHNP |
Practice Address |
601 John St Suite M318 Kalamazoo MI 49007-5383 |
Practice Telephone | 2693456197 |
Practice Fax Number | 2693459734 |
Mailing Telephone | 2693456197 |
Mailing Fax Number | 2693459734 |
Enumeration Date | 2005-09-15 |
Last Update Date | 2008-01-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
4704116309 | MI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740262120 | Susan Kay Fuller | Social Worker | 2100 W San Marcelo Blvd, Brownsville, TX 78526-1785 | 2005-11-18 |
1669090783 | Susan Rutkowski Fuller | Nurse Practitioner | 11911 Us 70 Hwy W, Clayton, NC 27520-2144 | 2020-07-07 |
1053782342 | Susan Gayle Fuller | Pharmacist | 1504 S Broadway, Santa Maria, CA 93454-7214 | 2015-10-12 |
1386920411 | Susan Ashley Fuller | Registered Nurse | 317 Main Street, Eagle Butte, SD 57625 | 2011-11-03 |
1205138195 | Susan Fuller | Registered Nurse | 222 Tongass Dr, Sitka, AK 99835-9416 | 2010-11-26 |
1013082288 | Susan A Fuller | Nurse Practitioner | 300 Mack Rd, Asheboro, NC 27205-1066 | 2006-11-22 |
Street Address |
601 JOHN ST SUITE M318 |
City | KALAMAZOO |
State | MI |
Zip Code | 49007-5383 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134122757 | Joan K. Slager | Advanced Practice Midwife | 601 John St, Ste N-1200, Kalamazoo, MI 49007-5341 | 2005-05-27 |
1841898780 | Alexandra Marie Christmas | Physician Assistant | 601 John St, Kalamazoo, MI 49007-5341 | 2020-10-13 |
1003423237 | Ochuko Andrew Oghor | Student in an Organized Health Care Education/Training Program | 601 John St, Kalamazoo, MI 49007-5341 | 2020-10-01 |
1710591680 | Marshe Suderman | Nurse Practitioner | 601 John St, Kalamazoo, MI 49007-5341 | 2020-09-08 |
1609485481 | Kristy Lynn Mumby | Nurse Practitioner | 601 John St, Kalamazoo, MI 49007-5341 | 2020-07-28 |
1407475700 | Bethany Hodges | Dietitian, Registered | 601 John St, Kalamazoo, MI 49007-5341 | 2020-04-16 |
1760031157 | Michael Nestorak | Emergency Medicine | 601 John St, Kalamazoo, MI 49007-5341 | 2019-09-09 |
1639728272 | James Michael Curtis | Pharmacist | 601 John St, Kalamazoo, MI 49007-5341 | 2019-09-06 |
1538716451 | Sheri Jones | Physical Therapist | 601 John St, Kalamazoo, MI 49007-5341 | 2019-08-26 |
1790332658 | Jill Marie Woodhams | Occupational Therapist | 601 John St, Kalamazoo, MI 49007-5341 | 2019-08-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881248342 | Whitney Kiel | Pharmacist | 601 John Street Suite M-020, Kalamazoo, MI 49007 | 2019-08-01 |
1316591571 | Laura Jedele | Physical Therapist | Bronson Healthcare Group, 601 John St, Kalamazoo, MI 49007 | 2019-07-26 |
1992209084 | Yvonne Marie Heltzel | Behavior Technician | 1826 N Rose St, Kalamazoo, MI 49007 | 2018-03-22 |
1396263943 | Travis Todd Turrell | Physician Assistant | 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 | 2017-09-05 |
1619493186 | Sarah Zuspann | Nurse Practitioner | 601 John Street, Suite 100, Kalamazoo, MI 49007 | 2017-08-16 |
1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
1265988901 | Calee Dieleman | Social Worker | 610 South Burdick, Kalamazoo, MI 49007 | 2016-09-01 |
1508313099 | Arriel Julia Ampey | Social Worker | 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 | 2016-09-01 |
1043662745 | Holloway Marston | Psychologist | 717 W South St, Apt. #6, Kalamazoo, MI 49007 | 2016-07-06 |
1205280062 | Bronson At Home | Home Health | 601 John St Ste M-431, Kalamazoo, MI 49007 | 2016-04-19 |
Find all providers in zip 49007 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700367489 | Mackenzie Leigh-rousse Arnold | Nurse Practitioner | 2854 S 11th St, Kalamazoo, MI 49009-2129 | 2018-08-22 |
1528206208 | Gail Marie Widener | Nurse Practitioner | 4201 W Michigan Ave, Kalamazoo, MI 49006-5810 | 2009-02-03 |
1528241668 | Pamela J Wadsworth | Nurse Practitioner | 601 John St, Ste M318, Kalamazoo, MI 49007-5341 | 2007-12-12 |
1760608772 | Diane Marie Williams | Nurse Practitioner | 7110 Stadium Dr, Kalamazoo, MI 49009-9423 | 2007-04-18 |
1063482537 | Debbera J Speeter | Nurse Practitioner | 7110 Stadium Dr, Kalamazoo, MI 49009 | 2006-01-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821615279 | Kelly Ellis | Nurse Practitioner | 585 S Union St, Sparta, MI 49345-1505 | 2020-07-01 |
1316587678 | Pregnancy Helpline | Nurse Practitioner | 7743 Grand River Avenue, Suite 101, Brighton, MI 48114-9349 | 2020-01-14 |
1972160745 | Jennifer Deibert Keck | Nurse Practitioner | 7345 Jewelbrooke Dr Se, Grand Rapids, MI 49548-7323 | 2019-05-28 |
1053874248 | Suzanne Kathleen Dubuque | Nurse Practitioner | 7743 Grand River Rd Ste 101, Brighton, MI 48114-9349 | 2019-04-13 |
1316419625 | Chira Latrice Caldwell | Nurse Practitioner | 26080 Continental Cir, Taylor, MI 48180-6901 | 2018-12-27 |
1245741651 | Michigan Born and Raised LLC | Nurse Practitioner | 2932 Chicago Dr Sw, Grandville, MI 49418-1176 | 2017-10-12 |
1700322708 | Emily Strang | Nurse Practitioner | 909 W Maple Rd Ste 110, Clawson, MI 48017-1000 | 2017-01-13 |
1629446315 | Women's Health Associates PC | Nurse Practitioner | 25150 Ford Rd Ste 200, Dearborn Heights, MI 48127-3163 | 2015-09-11 |
1003297664 | Kimberly Porter | Nurse Practitioner | 1005 W Green St Ste 301, Hastings, MI 49058-1729 | 2015-06-09 |
1619390309 | Bethany Bondy | Nurse Practitioner | 1651 Kingsway Ct Ste A, Trenton, MI 48183-1959 | 2014-01-30 |
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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.