MARY FULLER (NPI# 1740751015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740751015 |
| Entity Type | Individual |
| Full Name | MARY FULLER |
| Practice Address |
3043 N 29th St. Milwaukee WI 53209 |
| Mailing Address |
Po Box 250780 Milwaukee WI 53225-6511 |
| Practice Telephone | 4144161018 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | 0017091 | WI | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295052009 | Mary Elizabeth Fuller | Physical Therapist | 300 N Virginia St, Port Lavaca, TX 77979-3449 | 2010-05-03 |
| 1013113133 | Mary Ann Fuller | Dietitian, Registered | 415 Springtree Rd, Lake Dallas, TX 75065-2392 | 2007-06-25 |
| 1902938525 | Mary E Fuller | Marriage & Family Therapist | 835 Sorrelwood Ct, Westlake Village, CA 91361-1840 | 2007-03-09 |
| 1538130984 | Mary Margaret Fuller | Counselor | 40347 Us Highway 19 N Ste 103, Tarpon Springs, FL 34689-4841 | 2006-02-01 |
| 1497364053 | Mary Fuller | Preventive Medicine | 110 N Burr Blvd, Kewanee, IL 61443-2214 | 2020-07-29 |
| 1639723240 | Mary Cassandra Fuller | Nurse Practitioner | 4499 Medical Dr, San Antonio, TX 78229-3735 | 2019-07-31 |
| 1326503707 | Mary Alise Fuller | Technician | 3030 30th St Se, Washington, DC 20020-1674 | 2019-02-09 |
| 1245775428 | Mary N. Fuller | Nurse Practitioner | 109 Daniel Dr, Danville, KY 40422 | 2016-12-27 |
| 1285034058 | Mary Fuller | Registered Nurse | 495 Congress Ave, New Haven, CT 06519-1312 | 2014-08-29 |
| 1689913774 | Mary Ellen Fuller | Occupational Therapist | 1 Freedom Way, Active Duty Rehab Unit (27), Augusta, GA 30904-6258 | 2013-02-08 |
| Street Address |
3043 N 29TH ST. |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
| 1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
| 1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
| 1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
| 1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
| 1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
| 1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
| 1518361575 | Constance Leachelle Beard | Licensed Practical Nurse | 5337 N. 34th Street, Milwaukee, WI 53209 | 2014-10-20 |
| Find all providers in zip 53209 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742206 | Jamie Brown | Home Health Aide | 8200 W. Clovernook Street, Milwaukee, WI 53223 | 2020-08-28 |
| 1134730484 | Pearl Kendrick-ross | Home Health Aide | 4553 N 23rd St, Milwaukee, WI 53209-6270 | 2020-08-11 |
| 1295345569 | Roshay Michelle Edwards | Home Health Aide | 4303 N 66th St, Milwaukee, WI 53216-1102 | 2020-08-03 |
| 1720605751 | Shahzad Noor | Home Health Aide | 8210b W Capitol Dr, Milwaukee, WI 53222-1922 | 2020-06-25 |
| 1811510431 | Lamika Cook | Home Health Aide | 1817 W Clarke St, Milwaukee, WI 53206-2058 | 2020-05-19 |
| 1932729233 | Brenda A Waoh | Home Health Aide | 1720 N Commerce St, Milwaukee, WI 53212-4035 | 2020-04-16 |
| 1225665995 | Lakisha Rollins | Home Health Aide | 7919 W Bender Ave Apt 1, Milwaukee, WI 53218-1137 | 2020-03-24 |
| 1134768559 | Dana Perry | Home Health Aide | 6911 W Lima St, Milwaukee, WI 53223-5733 | 2020-01-02 |
| 1467091363 | Shanika J Wilder | Home Health Aide | 2817 N 17th St, Milwaukee, WI 53206-2132 | 2019-12-26 |
| 1508403064 | Diamond C Culbereath | Home Health Aide | 4028 W Lancaster Ave Apt 1, Milwaukee, WI 53209-5266 | 2019-12-04 |
| Find all providers in MILWAUKEE | ||||
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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.