MRS. LORI KIM FULLER (NPI# 1578680633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578680633 |
| Entity Type | Individual |
| Full Name | MRS. LORI KIM FULLER |
| Practice Address |
2262 County Road 3007 Bartlesville OK 74003-1304 |
| Practice Telephone | 9183366616 |
| Mailing Telephone | 9183366616 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| X | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598946642 | Lori Ann Fuller | Registered Nurse | 4088 W Hawthorne Trace Rd Apt 209, Brown Deer, WI 53209-1017 | 2007-11-16 |
| 1225650088 | Lori Jo Fuller | Massage Therapist | 214 Louisiana Ave, Perrysburg, OH 43551-1459 | 2020-05-14 |
| 1255885349 | Lori Fuller | Pharmacy Technician | 101 21st St, Nitro, WV 25143-1739 | 2016-08-07 |
| 1588643811 | Lori Antoinette Fuller | Physician Assistant | 540 E Jefferson St, Suite 401, Iowa City, IA 52245-2477 | 2006-01-13 |
| Street Address |
2262 COUNTY ROAD 3007 |
| City | BARTLESVILLE |
| State | OK |
| Zip Code | 74003-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225637366 | Crystal Dawn Adams | Peer Specialist | 200 N Sante Fe Ave, Bartlesville, OK 74003 | 2020-10-20 |
| 1780226506 | Heather Leigh Shoesmith | Speech-Language Pathologist | 117 West 5th Street, Bartlesville, OK 74003 | 2019-10-14 |
| 1356995815 | Monica Elizabeth Mccleary | Case Manager/Care Coordinator | 1804 S Dewey Ave, Bartlesville, OK 74003 | 2019-08-01 |
| 1396209359 | Newview Oklahoma Inc. | Occupational Therapy Assistant | 102 Sw Frank Phillips Blvd, Bartlesville, OK 74003 | 2019-01-24 |
| 1952762403 | Lee Ann Bond | Case Manager/Care Coordinator | 700 S.w. Penn Ave, Bartlesville, OK 74003 | 2016-03-11 |
| 1194102897 | Tiffany Jones | Case Manager/Care Coordinator | 1679 S Oal Ave, Bartlesville, OK 74003 | 2015-05-01 |
| 1073913125 | Kaileigh Jo Johnson | Behavioral Analyst | 700 S. Pen Ave, Bartlesville, OK 74003 | 2014-08-26 |
| 1699190595 | Mindy Karyl Mccoy | Occupational Therapist | 7256 Cr 2145, Bartlesville, OK 74003 | 2014-02-28 |
| 1841612025 | Kori A Sauer | Nurse Practitioner | 501 E. Frank Phillips Blvd., Suite 202, Bartlesville, OK 74003 | 2014-01-07 |
| 1265876122 | Teri G Woodward | Community Health Worker | 325 S Osage, Bartlesville, OK 74003 | 2013-04-23 |
| Find all providers in zip 74003 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598166803 | Mwindaace Davis | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3304 W Galveston Pl, Broken Arrow, OK 74012-3255 | 2014-09-07 |
| 1467863928 | Independent Nursing | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2113 Ne 2nd St, Moore, OK 73160-8155 | 2014-05-17 |
| 1760782940 | Lxe Counseling Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1100 Quail Rd, Lane, OK 74555 | 2010-10-22 |
| 1386815215 | Cletas Cottage Day Treatment Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 220 South 5th St, Noble, OK 73068 | 2008-03-19 |
| 1225221195 | Muskogee Assoc. for The Rights of Citizens W/developmental Disabled | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 210 E Okmulgee St, Muskogee, OK 74403-5453 | 2007-08-23 |
| 1578760609 | Missy Ann Beets | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 115 N Ethel, Picher, OK 74360 | 2007-07-02 |
| 1609073725 | Vada Arlene Mertens | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 407 16 Blvd Sw, Miami, OK 74354 | 2007-07-02 |
| 1376740019 | Shanon Elizabeth Paxson | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 25322 S 603 Rd, Grove, OK 74344 | 2007-06-27 |
| 1578760203 | Alice Faye Eaglin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 31850 So 4320 Rd, Big Cabin, OK 74332 | 2007-06-27 |
| 1912104670 | Lori Fay Oneill | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 321 West South Ave, Vinita, OK 74301 | 2007-06-27 |
| Find all providers with the same taxonomy | ||||
| City | BARTLESVILLE |
| Zip Code | 74003 |
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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.