CYNTHIA ELAINE FULLER (NPI# 1467474627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467474627 |
| Entity Type | Individual |
| Full Name | CYNTHIA ELAINE FULLER |
| Credential | NP |
| Practice Address |
1025 Montgomery Hwy Suite 211 Vestavia AL 35216-2805 |
| Mailing Address |
Po Box 661495 Birmingham AL 35266-1495 |
| Practice Telephone | 2058229544 |
| Practice Fax Number | 2058229544 |
| Mailing Telephone | 2059795882 |
| Mailing Fax Number | 2059791248 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2011-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1-073898 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS # | 51530421 | 01 |
| AL | MENTAL HEALTH NETWORK | 1467474627 | 01 |
| AL | AMERICAN BEHAVIORAL | 1467474627 | 01 |
| AL | UNITED BEHAVIORAL HEALTH | 1467474627 | 01 |
| AL | BEHAVIORAL HEALTH SYSTEMS | 1467474627 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487984308 | Cynthia Fuller | Speech-Language Pathologist | 100 Somerby Dr, Alpharetta, GA 30009-8780 | 2009-12-29 |
| 1912010570 | Cynthia J. Fuller | Pediatrics | 4520 S Harvard Ave, Suite 200, Tulsa, OK 74135-2925 | 2006-08-17 |
| Street Address |
1025 MONTGOMERY HWY SUITE 211 |
| City | VESTAVIA |
| State | AL |
| Zip Code | 35216-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295267300 | Alexis Shivers Sapp | Counselor | 1025 Montgomery Hwy, Vestavia, AL 35216-3521 | 2017-03-28 |
| 1093269508 | Amy Monroe | Speech-Language Pathologist | 1025 Montgomery Hwy, Southcrest Building Suite 214, Vestavia, AL 35216-2845 | 2016-08-12 |
| 1952776510 | Jessica Arevalo | Speech-Language Pathologist | 1025 Montgomery Hwy, Suite 214, Vestavia, AL 35216-2845 | 2015-12-08 |
| 1083086052 | Wfr Behavioral One, LLC | Psychologist | 1025 Montgomery Hwy, Suite #214, Vestavia, AL 35216-2845 | 2015-10-29 |
| 1093159451 | William Richardson | Psychologist | 1025 Montgomery Hwy, Suite 214, Vestavia, AL 35216-2845 | 2013-04-29 |
| 1053331520 | Harmony LLC | Counselor | 1025 Montgomery Hwy, Suite 211, Vestavia, AL 35216-2805 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809843 | Jessica N Dieken | Counselor | 2659 Rocky Ridge Lane, Birmingham, AL 35216 | 2020-10-21 |
| 1013540376 | My Psychiatry Clinic, LLC | Psychiatry & Neurology | 2021 Shady Crest Dr. Suite 100, Hoover, AL 35216 | 2020-02-14 |
| 1811534928 | Tina Marie Sumpter | Counselor | 1776 Independence Court, Suite #103, Vestavia, AL 35216 | 2019-12-09 |
| 1013564285 | Octavia Elisa Bruce | Specialist | 808 Green Springs Hwy, Suite 124 Studio 4, Homewood, AL 35216 | 2019-08-22 |
| 1831657741 | Karen A. Genas | Counselor | 3812 Rime Village Dr., Hoover, AL 35216 | 2019-03-10 |
| 1538624564 | Stewart Counseling, LLC | Community/Behavioral Health | 2231 Victory Lane, Suite 500, Hoover, AL 35216 | 2019-02-04 |
| 1699239509 | Heartsease Counseling Services LLC | Clinic/Center | 2231 Victory Ln., Suite 500, Hoover, AL 35216 | 2019-01-24 |
| 1205304276 | Jocelyn Stewart | Counselor | 2231 Victory Lane, Suite 500, Hoover, AL 35216 | 2018-11-08 |
| 1154835775 | Robert B. Connor Dmd, PC | Dentist | 1771 Independence Ct., Suite 1, Birmingham, AL 35216 | 2017-11-17 |
| 1093262594 | Jaime Pears | Speech-Language Pathologist | 3057 Lorna Road, Suite 220, Birmingham, AL 35216 | 2016-09-01 |
| Find all providers in zip 35216 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418498 | Shelia Brown-heard | Nurse Practitioner | 3104 Blue Lake Dr Ste 100, Vestavia, AL 35243-2372 | 2020-02-10 |
| 1912410820 | Telishay Rocquel Bailey | Nurse Practitioner | 2090 Columbiana Rd, Vestavia, AL 35216-2153 | 2017-11-14 |
| 1750750519 | Bridget Rudolph Roscoe | Nurse Practitioner | 2090 Columbiana Rd, Ste 4000, Vestavia, AL 35216-2153 | 2015-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250207 | Samantha Rose Pichler | Nurse Practitioner | 256 Honeysuckle Rd Ste 3, Dothan, AL 36305-1168 | 2020-09-16 |
| 1285249219 | Shea Monique Ludgood | Nurse Practitioner | 406 Skyview Dr Apt D, Birmingham, AL 35209-7620 | 2020-09-15 |
| 1710599386 | Brianna Johnson | Nurse Practitioner | 1531 N Andrews Dr, Thomasville, AL 36784-3529 | 2020-08-17 |
| 1316565336 | Alisha Hamidian | Nurse Practitioner | 1229 County Road 512, Valley Head, AL 35989-4926 | 2020-07-07 |
| 1003437880 | Kathryn Nicole Logan | Nurse Practitioner | 183 Little Doe Ln, Wetumpka, AL 36093-3093 | 2020-05-02 |
| 1831740729 | Chloe J Law | Nurse Practitioner | 3000 Southlake Park Ste 1000, Hoover, AL 35244-3293 | 2019-09-23 |
| 1528526704 | Deangelo Cartez Cooper | Nurse Practitioner | 4371 Narrow Lane Rd Ste 205, Montgomery, AL 36116-2975 | 2019-03-07 |
| 1861965493 | Taylor Barrett | Nurse Practitioner | 740 Forrest Ave, Gadsden, AL 35901-3639 | 2019-01-07 |
| 1942776695 | Brittany Ellen Kesten | Nurse Practitioner | 185 Whitesport Dr Sw Ste 5, Huntsville, AL 35801-6487 | 2018-10-21 |
| 1295217198 | Latisha Ali | Nurse Practitioner | 3000 Riverchase Galleria Ste 500, Hoover, AL 35244-2365 | 2018-09-06 |
| Find all providers with the same taxonomy | ||||
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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.