DANIEL BOSTON FULLER (NPI# 1629404264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629404264 |
| Entity Type | Individual |
| Full Name | DANIEL BOSTON FULLER |
| Practice Address |
340 Compaz Rd Chesapeake VA 23321-1602 |
| Practice Telephone | 8282304102 |
| Mailing Telephone | 8282304102 |
| Enumeration Date | 2013-09-14 |
| Last Update Date | 2013-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
0024171194 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SA2100X |
Clinical Nurse Specialist Specialization: Acute Care |
0024171194 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114479102 | Daniel R Fuller Jr. | Pharmacist | 7500 Univsersity Blvd., Moon Township, PA 15108 | 2016-10-26 |
| 1174618284 | Daniel W Fuller | Dentist | 3323 Unicorn Lake Blvd # 131, Denton, TX 76210-0102 | 2006-10-04 |
| 1124681747 | Daniel Winston Fuller | Student in an Organized Health Care Education/Training Program | 7907 Ostrow St Ste F, San Diego, CA 92111-3635 | 2019-04-18 |
| 1770957094 | Daniel Everett Fuller | Nurse Anesthetist, Certified Registered | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2015-11-24 |
| 1750586509 | Daniel W Fuller | Specialist | 3414 Golden Rd, Tyler, TX 75701-8336 | 2007-06-20 |
| 1023087632 | Daniel Gunn Fuller | Optometrist | 1225 Madison Ave, Memphis, TN 38104-2211 | 2006-03-16 |
| 1134126568 | Daniel G Fuller | Pediatrics | 26250 Euclid Ave, Suite 611, Euclid, OH 44132-3305 | 2005-06-30 |
| Street Address |
340 COMPAZ RD |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23321-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538475 | Yvonne Cotton | Social Worker | 3201 Churchland Blvd Suite 3, Chesapeake, VA 23321 | 2020-11-04 |
| 1073120242 | Peace In Life, LLC. | Custodial Care Facility | 3101 American Legion Road 21a, Chesapeake, VA 23321 | 2020-09-30 |
| 1497382337 | Diversified Transportation Solutions | Meals | 4940 Portsmouth Blvd. #222, Chesapeake, VA 23321 | 2020-03-23 |
| 1952895344 | Jasmine Wilkins | Private Vehicle | 4112 Jennifer Cres, Chesapeake, VA 23321 | 2018-06-19 |
| 1891219804 | P & S Home Health Care Solutions | Home Health | 3217 Western Branch Blvd, Suite B, Chesapeake, VA 23321 | 2017-08-01 |
| 1316467145 | Chelsea Ellison | Occupational Therapist | 3253 Taylor Rd Ste 200, Chesapeake, VA 23321 | 2017-06-22 |
| 1932655313 | Bhg Xli, LLC | Clinic/Center | 3322 Western Branch Blvd Ste A, Chesapeake, VA 23321 | 2016-08-26 |
| 1891189429 | Kelly C Diguilio | Social Worker | 4142 Chesapeake Square Blvd, Chesapeake, VA 23321 | 2015-03-20 |
| 1447665336 | Clancey Page | Behavioral Analyst | 4016 Raintree Rd Ste 200a, Chesapeake, VA 23321 | 2014-06-30 |
| 1558786228 | Mary Elizabeth Whitley | Home Health Aide | 3933 Galleon Dr., Chesapeake, VA 23321 | 2014-03-04 |
| Find all providers in zip 23321 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306301726 | Nicole Noble | Nurse Practitioner | 830 Evelyn Way, Chesapeake, VA 23322-2488 | 2019-02-11 |
| 1548895956 | Michael James Whitehurst | Nurse Practitioner | 300 Medical Pkwy, Chesapeake, VA 23320-4985 | 2020-03-05 |
| 1770127409 | Maria Rosario Tiglao Foronda | Nurse Practitioner | 736 Battlefield Blvd N, Chesapeake, VA 23320-4941 | 2019-11-06 |
| 1285105882 | Michael Gregory Coulter | Nurse Practitioner | 736 Battlefield Blvd N, Chesapeake, VA 23320-4941 | 2018-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481787 | Heather E Allmon | Nurse Practitioner | 1200 E Broad Street, West Hospital, Richmond, VA 23298-5023 | 2020-09-15 |
| 1982214813 | Brandon Lawrence Johnson | Nurse Practitioner | 1300 E Marshall St Fl 10, Richmond, VA 23298-5028 | 2020-08-05 |
| 1245857143 | James Daniels | Nurse Practitioner | 268 Foster Rd, Danville, VA 24541-7568 | 2020-06-26 |
| 1962029827 | Benita Davis Bocanegra | Nurse Practitioner | 1424 Old Station Loop, Hardy, VA 24101-3600 | 2020-06-26 |
| 1487270450 | Courtney Bailey Jones | Nurse Practitioner | 1708 Lee Dr, Farmville, VA 23901-2399 | 2020-06-24 |
| 1902421555 | Christy Marie Clark | Nurse Practitioner | 516 Vance Hill Rd, Danville, VA 24540-6406 | 2020-06-10 |
| 1164046678 | Comprehensive Advanced Practice Nursing Care Pllc | Nurse Practitioner | 1866 E Market Street, Pmb 348, Harrisonburg, VA 22801 | 2020-06-01 |
| 1841822194 | Sharon Njuguna | Nurse Practitioner | 8201 Shannon Hill Rd, Richmond, VA 23229-4911 | 2020-02-05 |
| 1255962890 | Trisha Marie Kasap | Nurse Practitioner | 13909 Preacher Chapman Pl, Centreville, VA 20121-3531 | 2020-02-02 |
| 1023648086 | Sherrica Minor | Nurse Practitioner | 1731 Hudgins Farm Cir, Fredericksburg, VA 22408-4179 | 2020-01-17 |
| Find all providers with the same taxonomy | ||||
| City | CHESAPEAKE |
| Zip Code | 23321 |
Please comment or provide details below to improve the information on DANIEL BOSTON 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.