LISA BARRY FULLER (NPI# 1407407372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407407372 |
| Entity Type | Individual |
| Full Name | LISA BARRY FULLER |
| Practice Address |
1672 Columbia Hwy Dothan AL 36303-5434 |
| Practice Telephone | 3347126400 |
| Practice Fax Number | 3347122676 |
| Mailing Telephone | 3347126400 |
| Mailing Fax Number | 3347122676 |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3364 | AL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457958746 | Lisa Ellen Fuller | Nutritionist | 3802 Sevierville Pike # 2, Knoxville, TN 37920-4551 | 2020-10-08 |
| 1801246210 | Lisa Fuller | Registered Nurse | 25 Laurie Ln, Bridgewater, MA 02324-3539 | 2016-06-16 |
| 1942441092 | Lisa Marie Fuller | Occupational Therapist | 9854 S 43rd Pl, Phoenix, AZ 85044-7528 | 2009-03-19 |
| 1093838781 | Lisa Marie Fuller | Case Manager/Care Coordinator | 211 Blanchard, Mountain View, AR 72560 | 2007-04-09 |
| 1609899947 | Lisa Joy Fuller | Optometrist | 505 Retail Way Ste 118, Louisburg, NC 27549-6480 | 2006-07-26 |
| 1265927057 | Lisa Ann Fuller | Nurse Practitioner | 8033 Ray Mears Blvd, Knoxville, TN 37919-5458 | 2018-06-25 |
| 1215430871 | Lisa Fuller | Physical Therapist | 1375 N Main St, Lapeer, MI 48446-1350 | 2018-03-09 |
| 1760847461 | Lisa Fuller | Registered Nurse | 1600 E Broadway, Columbia, MO 65201-5844 | 2015-12-22 |
| 1932531928 | Lisa Fuller | Nurse Practitioner | 2410 Boonville Rd, Bryan, TX 77808-2226 | 2013-08-01 |
| 1366567398 | Lisa L Fuller | Preventive Medicine | 1720 W Southern Ave, Suite B1-b6, Mesa, AZ 85202-4834 | 2007-03-20 |
| Street Address |
1672 COLUMBIA HWY |
| City | DOTHAN |
| State | AL |
| Zip Code | 36303-5434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124325121 | Stephanie Parrish | Psychiatry & Neurology | 1672 Columbia Hwy, Dothan, AL 36303-5434 | 2011-02-28 |
| 1982245643 | James Woodcox | Social Worker | 1672 Columbia Hwy, Dothan, AL 36303-5434 | 2019-10-03 |
| 1679114532 | Danielle Lee | Nurse Practitioner | 1672 Columbia Hwy, Dothan, AL 36303-5434 | 2019-10-02 |
| 1699235440 | Kimberly Smith | Counselor | 1672 Columbia Hwy, Dothan, AL 36303-5434 | 2019-03-20 |
| 1306350343 | Tonya Gulledge Herbold | Counselor | 1672 Columbia Hwy, Dothan, AL 36303-5434 | 2017-11-29 |
| 1821454521 | Hollee Anne Hudnell Lynn | Counselor | 1672 Columbia Hwy, Dothan, AL 36303-5434 | 2016-01-11 |
| 1568832160 | Daphne Benefield | Counselor | 1672 Columbia Hwy, Dothan, AL 36303-5434 | 2015-09-25 |
| 1548639131 | Jennifer Gatlin Stephens | Counselor | 1672 Columbia Hwy, Dothan, AL 36303-5434 | 2015-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194205740 | Emblom & Vaughn, D.m.d., PC | Dentist | 318 Healthwest Dr., Dothan, AL 36303 | 2018-08-14 |
| 1164887907 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 118 Obrannan Park Drive, Dothan, AL 36303 | 2015-12-21 |
| 1245634245 | Api Counseling, LLC | Community/Behavioral Health | 1583 Montgomery Highway, Dothan, AL 36303 | 2014-10-20 |
| 1467792382 | Bolanle Boladale Akinduro | Home Health | 107 Hidden Glen Way, Dothan, AL 36303 | 2013-03-01 |
| 1104162114 | Al Dental PC | Dentist | 3400 Montgomery Highway, Dothan, AL 36303 | 2012-12-19 |
| 1659661874 | Juanita Titrud Heersink | Internal Medicine | 210 Westside Drive, Dothan, AL 36303 | 2011-04-08 |
| 1790918548 | Brandi Bradshaw Reeves | Counselor | 100 Westside Dr., Dothan, AK 36303 | 2009-08-27 |
| 1396917589 | Brian Davis | Physical Therapist | 3763 Ross Clark Circle, Dothan, AL 36303 | 2008-03-27 |
| 1558544544 | Healthwest Dental Associates PC | Dentist | 502 Healthwest Drive, Dothan, AL 36303 | 2007-12-12 |
| 1770644775 | Christine Carroll Fain | Occupational Therapist | 3763 Ross Clark Cir Ste 1, Alacare Home Health, Dothan, AL 36303 | 2006-12-13 |
| Find all providers in zip 36303 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174159883 | John Nathaniel Mcanulty | Counselor | 100 Woodcreek Dr, Dothan, AL 36301-6204 | 2020-03-14 |
| 1942845573 | Jaleesa Mcmillan | Counselor | 2330 Montgomery Hwy, Dothan, AL 36303-3250 | 2019-11-07 |
| 1962059998 | Samantha Nicole Bolden | Counselor | 1001 John D. Odom Road, Dothan, AL 36305 | 2019-08-23 |
| 1083261325 | Krista Stephenson Smith | Counselor | 256 Honeysuckle Rd Ste 14, Dothan, AL 36305-1168 | 2019-08-21 |
| 1417502238 | Genesis Counseling Services, LLC | Counselor | 2246 Montgomery Hwy Ste 1, Dothan, AL 36303-3270 | 2019-08-08 |
| 1891353702 | Dothan Professional Counseling Services | Counselor | 310 Sprucepine Rd, Dothan, AL 36301-7268 | 2019-06-05 |
| 1366905648 | Kelley Marie Kearns | Counselor | 188 N Foster St Ste 101, Dothan, AL 36303-4568 | 2019-04-12 |
| 1750874160 | Jennifer Elisabeth Compton | Counselor | 2135 Denton Rd Ste 2, Dothan, AL 36303-2384 | 2018-06-11 |
| 1487161279 | Jeremiah Dalton | Counselor | 706 N Cherokee Ave, Dothan, AL 36303-3113 | 2018-01-03 |
| 1578084885 | Lisa Turner Rambo | Counselor | 3341 S Oates St Ste 118, Dothan, AL 36301-5889 | 2017-06-28 |
| Find all providers in DOTHAN | ||||
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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.