DR. STEPHANIE M FULLER (NPI# 1639418494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639418494 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE M FULLER |
| Credential | PH.D. |
| Practice Address |
3515 Broadway Ave. Yankton SD 57078-7600 |
| Mailing Address |
Po Box 7600 3515 Broadway Ave. Yankton SD 57078-7600 |
| Practice Telephone | 6056683100 |
| Practice Fax Number | 6056683460 |
| Mailing Telephone | 6056683100 |
| Mailing Fax Number | 6056683460 |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 427 | SD | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644727 | Stephanie Danielle Fuller | Licensed Practical Nurse | 22 Montclair Ave, Buffalo, NY 14215-2124 | 2020-09-20 |
| 1780138305 | Stephanie Renee Fuller | Nurse Practitioner | 5556 Cantabria Dr, Dallas, TX 75248-6445 | 2016-08-11 |
| 1780619585 | Stephanie Fuller | Marriage & Family Therapist | 4555 El Camino Real Ste G, Atascadero, CA 93422-2700 | 2006-07-11 |
| 1548622178 | Stephanie Fuller | Nurse Practitioner | 1813 Willow St, Suite 3, Vincennes, IN 47591-4279 | 2016-03-23 |
| 1114389913 | Stephanie Fuller | Social Worker | 600 42nd St, Des Moines, IA 50312-2701 | 2016-03-22 |
| 1013234244 | Stephanie Rose Fuller | Emergency Medicine | 5201 Harry Hines Blvd, Graduate Medical Education, Dallas, TX 75235-7708 | 2010-04-28 |
| 1013115930 | Stephanie Fuller | Surgery | 34th & Civic Center Blvd, Children's Hospital of Philadelphia, Philadelphia, PA 19104-4399 | 2007-07-03 |
| Street Address |
3515 BROADWAY AVE. |
| City | YANKTON |
| State | SD |
| Zip Code | 57078-7600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972645992 | Betty Ann Hulse | Psychiatric Hospital | 3515 Broadway Ave., Yankton, SD 57078-7600 | 2007-02-13 |
| 1285935106 | Elizabeth Kemper Eggers | Registered Nurse | 3515 Broadway Ave., Yankton, SD 57078 | 2010-11-09 |
| 1235266495 | Richard W. Sellars | Psychologist | 3515 Broadway Ave., Yankton, SD 57078-7600 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719661 | Jime Lynne Rivera | Psychiatry & Neurology | 708 E 21st Street, Yankton, SD 57078 | 2020-11-01 |
| 1043617210 | Kenneth Tomek | Dietitian, Registered | 2100 Broadway St, Yankton, SD 57078 | 2014-12-03 |
| 1932530276 | Jacqueline Ann Kelley | Nurse Practitioner | 1105 West 8th Street, Mount Marty College, Yankton, SD 57078 | 2013-12-12 |
| 1124363130 | Susan Kay Taecker | Occupational Therapist | 1502 Jo Ln, Yankton, SD 57078 | 2012-12-02 |
| 1295865178 | Dr Jon C Baumann Dds PC | Dentist | 809 Belfast Street, Yankton, SD 57078 | 2007-03-07 |
| 1306989090 | Gregory Scott Erickson | Internal Medicine | 501 Summit, Yankton, SD 57078 | 2007-02-14 |
| 1104976356 | Pine Lane Estates LLC | Assisted Living Facility | 2905 Douglas Ave, Yankton, SD 57078 | 2007-01-11 |
| 1518029917 | Teresa M Henrickson | Counselor | 904 W 23rd St Ste 101, Heartland Psychological Services, Yankton, SD 57078 | 2006-12-14 |
| 1396805016 | Joseph G Blackinton | Psychologist | Heartland Psychological Services, 904 W 23rd St Ste 101, Yankton, SD 57078 | 2006-12-11 |
| 1942383468 | Deborah Jean Kachena | Social Worker | 610 W 23rd Street, Yankton, SD 57078 | 2006-10-21 |
| Find all providers in zip 57078 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386197499 | Annette Haberman | Specialist | 208 W 21st St, Yankton, SD 57078-1753 | 2016-07-26 |
| 1467749523 | Lewis & Clark Urology, Ltd. | Specialist | 2525 Fox Run Pkwy, Ste. 204, Yankton, SD 57078-5370 | 2011-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598211179 | Barbara Samson | Specialist | 1807 William Street, Sturgis, SD 57785 | 2016-09-01 |
| 1144776345 | Mary Wood-fossen | Specialist | 1807 Williams, Sturgis, SD 57785 | 2016-08-28 |
| 1407204175 | Melissa Krogman | Specialist | 1451 Mcclellan Dr, Huron, SD 57350-3860 | 2016-06-02 |
| 1558716621 | Sharon Buseman Egan | Specialist | 409 E 41st St, Sioux Falls, SD 57105-5837 | 2016-04-26 |
| 1518375906 | Angela Schrader | Specialist | 2708 S Sandstone Cir, Sioux Falls, SD 57103-6511 | 2014-07-29 |
| 1952647760 | Klancy Tindall | Specialist | 1311 Vander Horck Avenue, Britton, SD 57430-0939 | 2012-12-26 |
| 1184996696 | Robert Eugene Polcyn | Specialist | 617 S 15th Street, Hot Springs, SD 57747-5127 | 2012-01-30 |
| 1013149681 | Ann M Host | Specialist | 404 Jackson Ave, Murdo, SD 57559 | 2009-08-17 |
| 1427213602 | Peggy Flynn Settle-kenefick | Specialist | 521 6th St Ste 102, Brookings, SD 57006-1461 | 2008-07-27 |
| 1366610339 | Judy Ann Zimbelman | Specialist | 7500 E Pine Lake Dr, Sioux Falls, SD 57110-6241 | 2008-02-13 |
| 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.