TAMERA S FULLER (NPI# 1376935270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376935270 |
| Entity Type | Individual |
| Full Name | TAMERA S FULLER |
| Credential | PA-S |
| Practice Address |
4311 11th Ave Ne Suite 200 Seattle WA 98105-6366 |
| Mailing Address |
320 Westlake Ave N Suite 100 Seattle WA 98109-5232 |
| Practice Telephone | 2066164001 |
| Mailing Telephone | 2064485600 |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2016-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
6069635270 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497297048 | Tamera Fuller | Counselor | 994 S Harrison Rd, Tucson, AZ 85748-6608 | 2016-11-14 |
| Street Address |
4311 11TH AVE NE SUITE 200 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-6366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194071894 | Brendan Joseph Finn | Physician Assistant | 4311 11th Ave Ne, 200, Seattle, WA 98105-6366 | 2012-07-31 |
| 1245771872 | Brianne Noel | Student in an Organized Health Care Education/Training Program | 4311 11th Ave Ne, Seattle, WA 98105-0000 | 2017-03-15 |
| 1205383148 | Leeor Rutenberg | Student in an Organized Health Care Education/Training Program | 4311 11th Ave Ne, Suite 200, Seattle, WA 98105-6366 | 2016-09-08 |
| 1932550423 | Stanislau Sukhotski | Physician Assistant | 4311 11th Ave Ne, Suite 200, Seattle, WA 98105 | 2016-06-25 |
| 1659729762 | Mitchell Corbin Mears | Physician Assistant | 4311 11th Ave Ne, Suite 200, Seattle, WA 98105-6366 | 2016-05-31 |
| 1043667637 | Nicholas Eugene Carpenter | Physician Assistant | 4311 11th Ave Ne, Suite 200, Seattle, WA 98105-6366 | 2016-05-24 |
| 1003263435 | Aimee Edmunds | Physician Assistant | 4311 11th Ave Ne, Suite 200, Seattle, WA 98105-6366 | 2016-05-16 |
| 1619324001 | Sarah Mariah Heniges | Student in an Organized Health Care Education/Training Program | 4311 11th Ave Ne, Suite 200, Seattle, WA 98105-6366 | 2016-05-16 |
| 1174970644 | Colin O'brien | Student in an Organized Health Care Education/Training Program | 4311 11th Ave Ne, Suite 200, Seattle, WA 98105-6366 | 2016-05-15 |
| 1750738209 | Heidi Donaldson | Physician Assistant | 4311 11th Ave Ne, Suite 200, Seattle, WA 98105-6366 | 2016-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
| 1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
| 1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
| 1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
| Find all providers in zip 98105 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184072498 | Emily Lizalek | Physician Assistant | 531 Broadway E Ste 10, Seattle, WA 98102-5023 | 2016-05-26 |
| 1477900876 | Sepideh Makouei | Physician Assistant | 1229 Madison St Ste 1190, Seattle, WA 98104-1357 | 2016-05-16 |
| 1376944645 | Christopher Ryan Varady | Physician Assistant | 6839 35th Ave Ne, Seattle, WA 98115-7333 | 2014-09-05 |
| 1093068652 | Northwest First Assists | Physician Assistant | 8560 Greenwood Ave N, 900, Seattle, WA 98103-3614 | 2012-10-19 |
| 1043581101 | Katherine Sjostrom Bennett | Physician Assistant | 5316 Rainer Ave S, Seattle, WA 98118 | 2012-01-21 |
| 1669759049 | Gregory Pintor | Physician Assistant | 2219 2nd Ave, #308, Seattle, WA 98121-2009 | 2011-11-13 |
| 1487885133 | Patrick G Alonso | Physician Assistant | 4311 11th Avenue Ne, Suite 200, Medex Northwest, Seattle, WA 98105 | 2009-07-29 |
| 1114167830 | Gayle Lynn Funk | Physician Assistant | 325 Eastlake Ave E, Seattle, WA 98109 | 2009-02-21 |
| 1316102718 | Claire Elizabeth Stevens | Physician Assistant | 325 - 9th Ave., Seattle, WA 98104-3595 | 2008-07-24 |
| 1548431240 | Jeanne A Rosner | Physician Assistant | 8521 15th Ave Ne, Seattle, WA 98115-3101 | 2008-03-20 |
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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.