MRS. MICHELLE RENEE FULLER (NPI# 1790392041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790392041 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE RENEE FULLER |
| Practice Address |
1082 Amherst Blvd London OH 43140-8576 |
| Practice Telephone | 6142095344 |
| Mailing Telephone | 6142095344 |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376J00000X | Homemaker | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982086237 | Michelle Fuller | Nurse Practitioner | 1401 E State St, Rockford, IL 61104-2315 | 2015-06-23 |
| 1538475827 | Michelle Fuller | Occupational Therapist | 12110 Clayton Rd, Saint Louis, MO 63131-2516 | 2010-08-24 |
| 1689660466 | Michelle L Fuller | Nurse Practitioner | 8230 Walnut Hill Ln, Ste 220, Dallas, TX 75231-4482 | 2005-09-27 |
| Street Address |
1082 AMHERST BLVD |
| City | LONDON |
| State | OH |
| Zip Code | 43140-8576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463755 | Billy Lamar Fuller | Homemaker | 1082 Amherst Blvd, London, OH 43140-8576 | 2020-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124588421 | Jennifer Howard | Counselor | 1851 Oh-56, London, OH 43140 | 2019-03-22 |
| 1497251896 | Jessica Nicole Ward | Registered Nurse | 371 Lafayette Street, London, OH 43140 | 2018-04-04 |
| 1356738439 | Kimberly Irene Kohli | Psychologist | 1580 State Route 56, Madison Correctional Institution, London, OH 43140 | 2015-04-16 |
| 1033502463 | Misty Fowler | Licensed Practical Nurse | 3775 Us Highway 40 Sw, London, OH 43140 | 2015-03-10 |
| 1295145266 | Sophie Hall | Licensed Practical Nurse | 2820 Old National Road, London, OH 43140 | 2014-04-30 |
| 1891119509 | London City Schools | Early Intervention Provider Agency | 380 Elm Street, London, OH 43140 | 2014-02-17 |
| 1588087654 | Dona Langdon | Dental Hygienist | 1580 State Roure 56, London, OH 43140 | 2014-01-27 |
| 1073818670 | David Allen Fairchild | Pharmacist | 238 Lafayette Street, K Mart Pharmacy 7547, London, OH 43140 | 2011-01-13 |
| 1275771958 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1355 St. Rt. 38 Se, London, OH 43140 | 2009-02-03 |
| 1225250756 | John C Starr | Hospice Care, Community Based | 62 S Oak St, London, OH 43140 | 2007-05-03 |
| Find all providers in zip 43140 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463755 | Billy Lamar Fuller | Homemaker | 1082 Amherst Blvd, London, OH 43140-8576 | 2020-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215750 | Anna Lisa Smith | Homemaker | 399 Meacham Rd, Ray, OH 45672-9610 | 2020-11-08 |
| 1639770308 | Kathy Schackmann | Homemaker | 2836 Fairways Dr, Fairfield Twp, OH 45011-8259 | 2020-11-08 |
| 1073114773 | Eric Johnson | Homemaker | 283 Grandview Ave, Wadsworth, OH 44281-1160 | 2020-11-08 |
| 1699376483 | Angela Lynn Evans | Homemaker | 4977 Rye Dr, Huber Heights, OH 45424-4332 | 2020-11-06 |
| 1881295673 | Amy Bryant | Homemaker | 506 Attica St, Vandalia, OH 45377-1812 | 2020-11-06 |
| 1831790872 | Sharon Lynn Werner | Homemaker | 6792 Keeneland Way, Mason, OH 45040-3420 | 2020-11-05 |
| 1821699703 | Dora Suella Blevins | Homemaker | 1929 Connecticut Dr, Xenia, OH 45385-4519 | 2020-11-05 |
| 1255932208 | Sherry Adams Mehaffey | Homemaker | 1706 Shepherd Fork Rd, West Portsmouth, OH 45663-9037 | 2020-11-05 |
| 1497356448 | Connie Rhnea Hubbard | Homemaker | 290 S Washington Blvd, Hamilton, OH 45013-3548 | 2020-11-05 |
| 1386245504 | Patricia Rose Mack | Homemaker | 8259 State Route 88, Ravenna, OH 44266-9158 | 2020-11-04 |
| 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.