LISA ELLEN FULLER (NPI# 1457958746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457958746 |
| Entity Type | Individual |
| Full Name | LISA ELLEN FULLER |
| Credential | MS, RD, LDN |
| Practice Address |
3802 Sevierville Pike # 2 Knoxville TN 37920-4551 |
| Practice Telephone | 5402933273 |
| Mailing Telephone | 5402933273 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | 2282 | TN | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | 1000893 | TN | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1407407372 | Lisa Barry Fuller | Counselor | 1672 Columbia Hwy, Dothan, AL 36303-5434 | 2019-09-23 |
| 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 |
3802 SEVIERVILLE PIKE # 2 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37920-4551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033747639 | Paul Connor Shanahan | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-109, Knoxville, TN 37920 | 2020-03-30 |
| 1952938904 | Eric Becker | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-60, Knoxville, TN 37920 | 2020-03-26 |
| 1174028336 | Taylor Boulware Tapscott | Nurse Practitioner | 3118 Alcoa Highway, Knoxville, TN 37920 | 2018-03-28 |
| 1255860672 | Eric Christopher Riedinger | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy., Box U-11, Knoxville, TN 37920 | 2017-06-08 |
| 1740639277 | Claudia Nieuwoudt | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, Box U-27, Knoxville, Tn 37920, Knoxville, TN 37920 | 2016-06-06 |
| 1841657699 | Frances D Thompson | Physical Therapy Assistant | 717 Lower Pond Way, Knoxville, TN 37920 | 2016-01-25 |
| 1720457989 | Independent Physical Therapy, LLC | Occupational Therapist | 7558 Mountain Grove Dr, Knoxville, TN 37920 | 2015-09-17 |
| 1982071189 | Ryan Dulling | Physical Therapist | 4011 Chapman Hwy Ste J, Knoxville, TN 37920 | 2015-08-24 |
| 1154705614 | Kailyn Sorensen | Physical Therapist | 1926 Alcoa Hwy Ste 200, Knoxville, TN 37920 | 2015-07-15 |
| 1093196420 | James Michael Hart II | Family Medicine | 1925 Alcoa Hwy # 56, Knoxville, TN 37920 | 2015-06-11 |
| Find all providers in zip 37920 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851957419 | Teran Leslie Moon | Dietitian, Registered | 1400 Dowell Springs Blvd Ste 119, Knoxville, TN 37909-2456 | 2019-05-18 |
| 1013497833 | Madden Wilson | Dietitian, Registered | 2100 Clinch Ave Ste 510, Knoxville, TN 37916-2225 | 2018-08-21 |
| 1073010088 | Katharine Brosnan | Dietitian, Registered | 4310 Barbara Dr, Knoxville, TN 37918-4311 | 2018-04-07 |
| 1881060143 | Lindsey Gill Carter | Dietitian, Registered | 1008 Weverton Rd, Knoxville, MD 21758-1412 | 2015-08-20 |
| 1689078131 | Claxton Dietetic Solutions, LLC | Dietitian, Registered | 6724 Albunda Dr, Knoxville, TN 37919-4803 | 2014-10-13 |
| 1407282791 | Cynthia Jean Toleman | Dietitian, Registered | 3511 Cemetery Cir, Knoxville, MD 21758-9642 | 2013-09-19 |
| 1730410044 | Juliann Marie Chavez | Dietitian, Registered | 1124 E Weisgarber Rd Ste 200, Knoxville, TN 37909-2686 | 2010-01-26 |
| 1740449768 | Moyers Nutrition Services, LLC | Dietitian, Registered | 5951 Nature Ln, Knoxville, TN 37912-2115 | 2008-06-05 |
| 1740319136 | Casey Peer Nutrition Consultants | Dietitian, Registered | 1107 Milam Circle, Knoxville, TN 37919 | 2007-03-03 |
| 1477692432 | Casey Drake Coffey | Dietitian, Registered | 9048 Legends Lake Ln, Knoxville, TN 37922-5258 | 2007-02-06 |
| Find all providers in KNOXVILLE | ||||
Please comment or provide details below to improve the information on LISA ELLEN FULLER.
| 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.