TASHA MARIE FULLER


Address: 47 Virginia St, Waterloo, NY 13165-1444
Phone: 3156642216

TASHA MARIE FULLER (NPI# 1619448370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619448370
Entity Type Individual
Full Name TASHA MARIE FULLER
Credential DC
Practice Address 47 Virginia St
Waterloo
NY 13165-1444
Mailing Address 15 E Elisha St
Waterloo
NY 13165-1402
Practice Telephone 3156642216
Mailing Telephone 3156642216
Enumeration Date 2018-12-06
Last Update Date 2020-03-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 013201 NY Chiropractic Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
9-27 East Main Street, Suite 100, Waterloo, NY 13165 3156642216

Office Location

Street Address 47 VIRGINIA ST
City WATERLOO
State NY
Zip Code 13165-1444

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497284848 Mary Reese Registered Nurse 31 Thurber Drive, Waterloo, NY 13165 2017-06-08
1841738788 Kristina Marie Metz Counselor 31 Thurber Dr., Waterloo, NY 13165 2017-02-10
1902273675 Elisabeth Rouse Licensed Practical Nurse 21 Oak St Apt A., Waterloo, NY 13165 2015-08-28
1164773735 Stephen Frederick Hartman Dentist 107 North Virginia Street, Waterloo, NY 13165 2012-09-24
1417204355 Ute E Gallert Nurse Practitioner 369 E. Main Street, Huntington Living Center, Waterloo, NY 13165 2012-08-09
1770803918 Shelley Reeland Massage Therapist 1388 Rt 96 N, Waterloo, NY 13165 2010-06-10
1275856031 Yecham Kumaraswamy Pharmacist 1963 Route 5&20 Street, Waterloo, NY 13165 2010-03-09
1801128632 David Edward Janack Pharmacist 1860 North Road, Waterloo, NY 13165 2010-02-04
1336476753 Laura Jane Miccuci Pharmacist 1963 Routes 5 & 20, Waterloo, NY 13165 2009-11-05
1528203759 Joanne Farula Corey Speech-Language Pathologist 2932 Rt. 96, Waterloo, NY 13165 2008-12-02
Find all providers in zip 13165

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922591452 Amanda Hussman Chiropractor 203 E Tower Park Dr Ste B, Waterloo, IA 50701-9321 2018-06-09
1104287069 Back In Motion Chiropractic LLC Chiropractor 2835 University Ave, Waterloo, IA 50701-3335 2016-03-18
1780067256 Emily Michele Kruse Chiropractor 208 E Mill St, Waterloo, IL 62298-1519 2015-07-02
1598160590 Kingsley D Kabari Chiropractor 1963 Us Route 20, Waterloo, NY 13165-8552 2014-11-03
1093114589 Bryan D'aoust Chiropractor 430 Wagner St, Waterloo, NY 13165-6702 2014-08-20
1346552643 Lance E. Vanderloo Dc PC Chiropractor 3731 Kimball Avenue, Waterloo, IA 50702-5728 2010-07-02
1528382793 Schumann Chiropractic LLC Chiropractor 143 N Monroe St, Waterloo, WI 53594-1124 2010-03-17
1447572243 Devin D Schumann Chiropractor 132 W Madison St, Waterloo, WI 53594-1320 2010-02-19
1669654356 Hartzell Family Chiropractic, P.l.c. Chiropractor 509 Ansborough Ave, Ste A, Waterloo, IA 50701-2139 2007-12-04
1043410087 Ebert Chiropractic Clinic PC Chiropractor 1445 Ansborough Avenue, Waterloo, IA 50701-3430 2007-07-18
Find all providers in WATERLOO

Competitor

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City WATERLOO
Zip Code 13165

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Dataset Information

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.

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