BRENDA CHIQUITA FULLER (NPI# 1417486184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417486184 |
| Entity Type | Individual |
| Full Name | BRENDA CHIQUITA FULLER |
| Practice Address |
940 Ga Highway 96 Ste C Warner Robins GA 31088-2585 |
| Mailing Address |
940 Ga Highway 96 Ste C Warner Robins GA 31088-2587 |
| Practice Telephone | (478) 988-7100 |
| Practice Fax Number | 4789888098 |
| Mailing Telephone | 4789887100 |
| Mailing Fax Number | 4789888098 |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679028922 | Brenda Fuller | Case Manager/Care Coordinator | 233 Fuller Ln, Frierson, LA 71027-2074 | 2016-08-16 |
| 1700926672 | Brenda Fuller | Case Manager/Care Coordinator | 225 Fieldwood Dr, Huntingdon, TN 38344-1816 | 2007-02-08 |
| Street Address |
940 GA HIGHWAY 96 STE C |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31088-2585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265502025 | Middle Flint Area Community Service Board | Community/Behavioral Health | 940 Ga Highway 96 Ste C, Warner Robins, GA 31088-2585 | 2006-11-09 |
| 1114541067 | Wendy Lewis | Licensed Practical Nurse | 940 Ga Highway 96 Ste C, Warner Robins, GA 31088-2585 | 2020-06-05 |
| 1215556147 | Joanne Murray Nobles | Registered Nurse | 940 Ga Highway 96 Ste C, Warner Robins, GA 31088-2585 | 2020-04-10 |
| 1619455169 | Marquita Mitchell | Registered Nurse | 940 Ga Highway 96 Ste C, Warner Robins, GA 31088-2585 | 2018-08-06 |
| 1659868073 | Jonathan Snyder | Registered Nurse | 940 Ga Highway 96 Ste C, Warner Robins, GA 31088-2585 | 2018-04-20 |
| 1275049017 | Stephen Jasper Littleton | Counselor | 940 Ga Highway 96 Ste C, Warner Robins, GA 31088-2585 | 2017-12-15 |
| 1922517952 | Alycia Anne Morrow | Registered Nurse | 940 Ga Highway 96 Ste C, Warner Robins, GA 31088-2585 | 2017-09-21 |
| 1033647607 | Margaret- Rose Mcnicholas | Registered Nurse | 940 Ga Highway 96 Ste C, Warner Robins, GA 31088-2585 | 2017-05-26 |
| 1437687183 | Vashawn M Oats | Counselor | 940 Ga Highway 96 Ste C, Warner Robins, GA 31088-2585 | 2017-05-25 |
| 1457726978 | Jennifer Trawick | Counselor | 940 Ga Highway 96 Ste C, Warner Robins, GA 31088-2585 | 2015-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218921 | Sarah Newman | Pharmacist | 1081 Ga-96, Warner Robins, GA 31088 | 2020-09-08 |
| 1619599115 | Alana Jane Sibley | Registered Nurse | 940 Ga - 96, Warner Robins, GA 31088 | 2020-05-07 |
| 1033779657 | Jodi Lynne Pettygrove | Nurse Practitioner | 115 Havelock Cir, Warner Robins, GA 31088 | 2019-06-17 |
| 1164994901 | Gwendolyn Jordan Taylor | Registered Nurse | 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 | 2018-12-18 |
| 1447721543 | Amy Tanner | Behavioral Analyst | 200 Cresview Church Rd #1806, Warner Robins, GA 31088 | 2018-12-16 |
| 1518435676 | Phoenix Health Center | Case Management | 940 Ga-96, Warner Robins, GA 31088 | 2018-11-07 |
| 1427534320 | Jared Dean Johnson | Social Worker | 146 Lakepointe Drive, Warner Robins, GA 31088 | 2018-07-13 |
| 1285124180 | Cmp Academy & Billing Service | Contractor | 105 S Commercial Circle, Warner Robins, GA 31088 | 2018-05-16 |
| 1730692377 | Benzer Pharmacy | Pharmacy | 150 S Houston Lake Rd Ste 300, Warner Robins, GA 31088 | 2017-11-06 |
| 1821507476 | Timothy Doyle Thomas | Registered Nurse | 940-c Hwy 96, Warner Robins, GA 31088 | 2017-09-27 |
| Find all providers in zip 31088 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922654102 | Hui Bostian | Technician | 402 Pinecrest Dr., Warner Robins, GA 31093 | 2019-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214183 | Julia Mcenhill | Technician | 10 Evonshire Dr, Sharpsburg, GA 30277-3266 | 2020-10-28 |
| 1497352884 | Ernestine Atwater | Technician | 1962 Twin Falls Rd, Decatur, GA 30032-6070 | 2020-10-08 |
| 1952916207 | Nitza Chea Bishop | Technician | 151 Chulio Rd Se, Rome, GA 30161-8496 | 2020-09-14 |
| 1174137822 | Nettie Pearl Smith | Technician | 2919 Lonesome Rd, Albany, GA 31721-5644 | 2020-09-01 |
| 1255943478 | David Williams Jr. | Technician | 126 Thompson St, Cusseta, GA 31805-3945 | 2020-08-19 |
| 1750992913 | Phyllis Denise Haynes | Technician | 1111 Glenwood Ln, Bogart, GA 30622-2396 | 2020-08-12 |
| 1306464037 | Vickie Moore | Technician | 1639 Breeds Hill Loop, Columbus, GA 31907-7430 | 2020-07-09 |
| 1275150542 | Quindeic Rhones | Technician | 2556 Miles St, Augusta, GA 30906-5326 | 2020-07-02 |
| 1083231476 | Martha Crawford | Technician | 593 Crawford St Se, Dawson, GA 39842-2041 | 2020-07-01 |
| 1356967350 | Gloria Foster | Technician | 8643 Crenshaw Dr, Grovetown, GA 30813-8322 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
| City | WARNER ROBINS |
| Zip Code | 31088 |
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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.