SABRINA MISTY FULLER (NPI# 1780106831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780106831 |
| Entity Type | Individual |
| Full Name | SABRINA MISTY FULLER |
| Practice Address |
6101 Lake Ellenor Dr Orlando FL 32809-4616 |
| Practice Telephone | 4078581487 |
| Practice Fax Number | 4078456136 |
| Mailing Telephone | 4077235029 |
| Mailing Fax Number | 4078585523 |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2018-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9228514 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 022688100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 900 University Blvd N Ste 700, Jacksonville, FL 322115530 | 9043532130 | 9043530213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739499 | Sabrina Fuller | Physical Therapist | 7909 Pat Booker Rd, Live Oak, TX 78233-2602 | 2018-02-02 |
| Street Address |
6101 LAKE ELLENOR DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32809-4616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841288990 | Rita T Mapa | Pediatrics | 6101 Lake Ellenor Dr, Suite 105, Orlando, FL 32809 | 2005-10-12 |
| 1689120867 | Sascha Beaumont | Nurse Practitioner | 6101 Lake Ellenor Dr, Suite 105, Orlando, FL 32809-4616 | 2016-08-29 |
| 1508232836 | Sherhonda Fevrier | Nurse Practitioner | 6101 Lake Ellenor Dr, Orlando, FL 32809-4616 | 2015-08-21 |
| 1730560756 | Jennifer E Tompkins | Nutritionist | 6101 Lake Ellenor Dr, Orlando, FL 32809-4616 | 2015-06-16 |
| 1245611748 | Adeeb Sarvari | Dietitian, Registered | 6101 Lake Ellenor Dr, Orlando, FL 32809-4616 | 2015-06-11 |
| 1124408869 | Wendy Stephens | Dietitian, Registered | 6101 Lake Ellenor Dr, Orlando, FL 32809-4616 | 2015-06-08 |
| 1952789679 | Angela M Bryan | Dietitian, Registered | 6101 Lake Ellenor Dr, Orlando, FL 32809-4616 | 2015-05-14 |
| 1235517277 | Jessica Menard | Nutritionist | 6101 Lake Ellenor Dr, Orlando, FL 32809 | 2015-05-11 |
| 1629456728 | Carletta Roper Richardson | Dietitian, Registered | 6101 Lake Ellenor Dr, Orlando, FL 32809-4616 | 2015-05-11 |
| 1205246618 | Kislene St.hubert | Nurse Practitioner | 6101 Lake Ellenor Dr, Suite 105, Orlando, FL 32809-4616 | 2014-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634765 | Junie Jean-philippe | Chiropractor | 7130 S Orange Blossom Trail Suite 148, Orlando, FL 32809 | 2020-03-12 |
| 1073030276 | Amanda Wiegert | Counselor | 6000 Lake Ellenor Drive, Orlando, FL 32809 | 2017-08-28 |
| 1780114330 | Fanny Vivas | Counselor | 8000 South Orange Avenue, Suite 111, Orlando, FL 32809 | 2017-06-15 |
| 1588101356 | Coassist Pharmacy, LLC | Pharmacy | 2400 Sand Lake Road, Suite 200, Orlando, FL 32809 | 2017-01-31 |
| 1306203872 | Greidis Villalobos | Counselor | 5957 Estella Way, Orlando, FL 32809 | 2016-01-28 |
| 1891113809 | Orville Mario Morgan | Genetic Counselor, MS | 1220 Evangeline Ave., Orlando, FL 32809 | 2014-04-07 |
| 1669727699 | Hispanic Family Counseling Inc | Social Worker | 6900 S Orange Blossom Trl Ste 402, Orlando, FL 32809 | 2012-07-16 |
| 1548529118 | Laurie Lowe Forbes | Pharmacist | 530 Sunport Lane, Orlando, FL 32809 | 2012-05-16 |
| 1972886307 | Viet H Nguyen | Pharmacist | 7003 Presidents Drive Suite 250, Orlando, FL 32809 | 2011-09-22 |
| 1497042774 | Calren S Wang | Physical Therapy Assistant | 1718 Colleen Dr, Belle Isle, FL 32809 | 2011-07-07 |
| Find all providers in zip 32809 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033005 | Lourdes Milagros Rivera | Nurse Practitioner | 4512 Raintree Ridge Rd, Orlando, FL 32837-5133 | 2020-11-06 |
| 1962019232 | Gerda Dorce | Nurse Practitioner | 5045 Catspaw Ct, Orlando, FL 32808-5961 | 2020-09-30 |
| 1073120093 | Kailey Wickens | Nurse Practitioner | 10139 Rivers Trail Dr, Orlando, FL 32817-2884 | 2020-09-24 |
| 1528672284 | Paulette Fernandez | Nurse Practitioner | 9208 Larette Dr, Orlando, FL 32817-2618 | 2020-09-01 |
| 1225641798 | Jennifer Marie Fleitas | Nurse Practitioner | 1501 Balsam Willow Trl, Orlando, FL 32825-4469 | 2020-08-25 |
| 1730792201 | Winnie Tsang-wu | Nurse Practitioner | 11419 Chateaubriand Ave, Orlando, FL 32836-8890 | 2020-08-25 |
| 1851902548 | April Michelle Edwards | Nurse Practitioner | 2630 Babbitt Ave, Orlando, FL 32833-4023 | 2020-08-14 |
| 1417567454 | Maureen Williams | Nurse Practitioner | 2126 Great Falls Way, Orlando, FL 32824-4302 | 2020-08-04 |
| 1134747470 | Edelio Valentin De Zayas | Nurse Practitioner | 7763 Segovia St, Orlando, FL 32822-8036 | 2020-07-13 |
| 1811515141 | Yuliet Castillo | Nurse Practitioner | 10814 Flycast Cir, Orlando, FL 32825-4878 | 2020-07-13 |
| Find all providers in ORLANDO | ||||
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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.