REBECCA FULLAM


Address: 2001 Laurel St, Columbia, SC 29204-1018
Phone: 8032543278

REBECCA FULLAM (NPI# 1750396388) 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) 1750396388
Entity Type Individual
Full Name REBECCA FULLAM
Credential NP
Practice Address 2001 Laurel St
Columbia
SC 29204-1018
Practice Telephone 8032543278
Practice Fax Number 8032552715
Mailing Telephone 8032543278
Mailing Fax Number 8032552715
Enumeration Date 2006-07-30
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner APN2647 SC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2001 LAUREL ST
City COLUMBIA
State SC
Zip Code 29204-1018

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265434088 Melissa Rowland Nurse Practitioner 2001 Laurel St, Columbia, SC 29204-1018 2005-08-11
1174180699 Erin Jaynes Belk Registered Nurse 2001 Laurel St, Columbia, SC 29204-1018 2019-05-20
1598123549 Providence Group Practices LLC Internal Medicine 2001 Laurel St, Columbia, SC 29204-1018 2016-02-05
1689030595 Providence Physician Practices LLC Internal Medicine 2001 Laurel St, Ste 300, Columbia, SC 29204-1018 2016-01-07
1265716039 Providence Cardiology LLC Internal Medicine 2001 Laurel St, Columbia, SC 29204-1018 2011-09-28
1518248459 Providence Cardiology Internal Medicine 2001 Laurel St, Columbia, SC 29204-1018 2011-09-06
1679737720 South Carolina Heart Center Pa Internal Medicine 2001 Laurel St, Columbia, SC 29204-1018 2008-07-17
1255517728 Jamie D Cunningham Nurse Practitioner 2001 Laurel St, Columbia, SC 29204-1018 2008-01-15
1003822693 Brenda Ligon Physician Assistant 2001 Laurel St, Columbia, SC 29204-1018 2006-08-01
1386673879 Mark L Orlandini Internal Medicine 2001 Laurel St, Columbia, SC 29204-1018 2006-06-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992215149 Ricardo Colon II Registered Nurse 3000 Hampton Street, Columbia, SC 29204 2017-10-02
1780113522 Carla Star Noe Registered Nurse Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 2017-06-06
1124568514 Kristy L Thompson Nurse Practitioner 1655 Bernardin Ave Ste 240, Columbia, SC 29204 2017-03-03
1982052031 Harold Eugene Cook Iv Podiatrist 1730 St Julian Place, Columbia, SC 29204 2016-05-31
1851748974 Shaquita Banks Counselor 1810 Allen Benedict Ct, A1, Columbia, SC 29204 2016-05-18
1265804835 Premier Care, LLC Case Management 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 2015-10-22
1023492287 Shamiquia N. Mcpherson Counselor 1627 Auburn St., Columbia, SC 29204 2015-07-16
1285028449 The Columbia Free Medical Clinic, Inc. Clinic/Center 1875 Harden Street, Columbia, SC 29204 2015-03-26
1629473459 Leslie Wilson Counselor 2323 Lady Street, Columbia, SC 29204 2014-10-22
1053728683 Candyce Sutton Social Worker 1135 Carter Street, Columbia, SC 29204 2014-07-15
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841806551 Pamela Louise Smith Nurse Practitioner 1605 E Broadway Ste 100, Columbia, MO 65201-8023 2020-09-17
1518572353 Lucretia D Sanders Nurse Practitioner 4201 Grand St Apt L, Columbia, SC 29203-6668 2020-09-09
1629698485 Abigayle Idora Colon Nurse Practitioner 55 Burnett Rd, Columbia, KY 42728-9441 2020-04-22
1245864321 Mh Health Care Services, PC Nurse Practitioner 400 Laurel St Lowr Level, Columbia, SC 29201-2281 2020-02-27
1649801994 Jennifer Turner Nurse Practitioner 1220 Hardison Rd, Columbia, TN 38401-1350 2020-01-27
1700429453 Tyease Mosley Nurse Practitioner 4611 Hard Scrabble Rd Ste 189, Columbia, SC 29229-8584 2019-10-25
1164985834 Rameka M Reed Nurse Practitioner 2301 Blue Ridge Ter, Columbia, SC 29203-1303 2019-04-10
1366917924 Brittney Nichole Frazier Nurse Practitioner 3020 Sunset Blvd West Columbia Sc 29169, Columbia, SC 29203-2920 2018-10-10
1295224871 Palmetto Health - University of South Carolina Medical Group Nurse Practitioner 2113 Adams Grv Ste 200, Columbia, SC 29203-6957 2018-05-09
1730698580 Jennifer Moon Bailey Nurse Practitioner 237 Longtown Rd, Columbia, SC 29229-8550 2017-09-25
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Competitor

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City COLUMBIA
Zip Code 29204

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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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