CHERYL ALLEN FULLER (NPI# 1841386604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841386604 |
| Entity Type | Individual |
| Full Name | CHERYL ALLEN FULLER |
| Credential | CRNP |
| Practice Address |
640 Madison Ave Scranton PA 18510-1631 |
| Mailing Address |
15 Public Sq Suite 600 Wilkes Barre PA 18701-1702 |
| Practice Telephone | 5709615550 |
| Practice Fax Number | 5709613844 |
| Mailing Telephone | 5708261777 |
| Mailing Fax Number | 5708233040 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2016-02-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WW0101X |
Registered Nurse Specialization: Women's Health Care, Ambulatory |
RN186250L | PA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | TP001357B | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
TP001357B | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0016466420007 | 05 | |
| PA | 0016466420006 | 05 | |
| PA | 1007678420043 | 05 | |
| PA | 1007678420035 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376851410 | Cheryl A Fuller | Nurse Practitioner | 318 Us Highway 51 N, Dongola, IL 62926-1103 | 2010-09-23 |
| 1750303269 | Cheryl Fuller | Psychologist | 1814 8th Ave # B, Fort Worth, TX 76110-1354 | 2006-07-24 |
| 1457903528 | Cheryl E Fuller | Counselor | 950 Lila Ave, Milford, OH 45150-1683 | 2019-07-09 |
| 1356468748 | Cheryl Fuller | Specialist/Technologist | 1717 6th Ave S, Room 151, Birmingham, AL 35249-0001 | 2007-03-23 |
| 1316001803 | Cheryl T. Fuller | Counselor | 1727 Amsterdam Ave, New York, NY 10031-4611 | 2006-12-20 |
| 1144210527 | Cheryl K Fuller | Nurse Practitioner | 640 Flormann St, Rapid City, SD 57701-4679 | 2005-10-26 |
| Street Address |
640 MADISON AVE |
| City | SCRANTON |
| State | PA |
| Zip Code | 18510-1631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649264532 | Shubhra M Shetty | Internal Medicine | 640 Madison Ave, Scranton, PA 18510-1607 | 2005-09-07 |
| 1790303535 | Lori Ryder | Social Worker | 640 Madison Ave, Scranton, PA 18510-1631 | 2020-07-08 |
| 1053977454 | Nakita Shaffer | Registered Nurse | 640 Madison Ave, Scranton, PA 18510-1631 | 2019-05-13 |
| 1013472760 | Sara R Wargo | Social Worker | 640 Madison Ave, Scranton, PA 18510-1631 | 2019-02-07 |
| 1013487016 | Mary A Amico | Registered Nurse | 640 Madison Ave, Scranton, PA 18510-1631 | 2018-12-03 |
| 1740669530 | Maternal & Family Health Services Inc | Clinic/Center | 640 Madison Ave, Scranton, PA 18510-1631 | 2015-05-26 |
| 1720419591 | Maternal & Family Health Services Inc | Dietitian, Registered | 640 Madison Ave, Scranton, PA 18510-1631 | 2013-12-04 |
| 1730519521 | Yurii Harden | Social Worker | 640 Madison Ave, Scranton, PA 18510-1631 | 2013-11-15 |
| 1992137616 | Barbara C. Kennedy | Dietitian, Registered | 640 Madison Ave, Scranton, PA 18510-1631 | 2013-08-05 |
| 1326480377 | Vijaya Sena Reddy Dendi | Internal Medicine | 640 Madison Ave, Scranton, PA 18510-1631 | 2013-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427432335 | Marla Osborne Dempsey | Family Medicine | 1141 Clay Ave Ste 1, Dunmore, PA 18510 | 2015-07-10 |
| 1669620043 | Mary Jane Miskovsky | Nurse Practitioner | 800 Linden Street, University of Scranton Student Health Service, Scranton, PA 18510 | 2008-08-28 |
| 1427174739 | Cheryl Friedman | Registered Nurse | 1710 Mulberry Street, Scranton, PA 18510 | 2007-03-21 |
| 1619092970 | Susan Rudalavage | Dietitian, Registered | 640 Madison Avenue, Scranton, PA 18510 | 2007-03-19 |
| 1851469738 | Lackawanna Surgery Center LLC | Clinic/Center | 415 Adams Avenue, Scranton, PA 18510 | 2006-12-01 |
| 1679666150 | Nicholas M. Rocco | Nurse Anesthetist, Certified Registered | 700 Quincy Ave., Scranton, PA 18510 | 2006-10-02 |
| 1710927587 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Jefferson Ave, Scranton, PA 18510 | 2006-06-08 |
| 1619934189 | James M Haggerty | Podiatrist | 521 Ash Street, Dunmore, PA 18510 | 2006-04-28 |
| 1962461145 | Kevin G Madden | Psychiatry & Neurology | 802 Jefferson Avenue, Scranton, PA 18510 | 2006-03-17 |
| 1720058795 | Mark Trently | Nurse Anesthetist, Certified Registered | 1822 Jmulberry St, Scranton, PA 18510 | 2006-01-24 |
| Find all providers in zip 18510 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497264618 | Amanda Marie Kubilus | Nurse Practitioner | 743 Jefferson Ave Ste 203, Scranton, PA 18510-1638 | 2017-09-20 |
| 1427574839 | Melissa Ann Moran | Nurse Practitioner | 3 W Olive St Ste 220, Scranton, PA 18508-2572 | 2017-08-17 |
| 1831530427 | Jerrica D Sheridan | Nurse Practitioner | 1141 Moosic St Ste 3, Scranton, PA 18505-2105 | 2013-07-10 |
| 1912987322 | Elizabeth J Booth | Nurse Practitioner | 632 Prospect Ave, Scranton, PA 18505 | 2006-01-20 |
| 1821078239 | Cathy Sue Gillette | Nurse Practitioner | 2232 Pittston Ave, Scranton, PA 18505 | 2006-01-20 |
| 1447866793 | Brandilen Burke | Nurse Practitioner | 746 Jefferson Ave Ste 305, Scranton, PA 18510-1639 | 2020-09-22 |
| 1275141855 | Brittany Alessandra Field | Nurse Practitioner | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-07-20 |
| 1538713557 | Maura Elizabeth Longstreet | Nurse Practitioner | 501 S Washington Ave, Scranton, PA 18505-3814 | 2019-07-29 |
| 1528610334 | Melissa Colarossi | Nurse Practitioner | 300 Lackawanna Ave Ste 200, Scranton, PA 18503-2001 | 2019-07-11 |
| 1902364805 | Beatriz D'amico | Nurse Practitioner | 1800 Mulberry St, Scranton, PA 18510-2369 | 2019-03-10 |
| Find all providers in SCRANTON | ||||
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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.