MRS. DEANNA LILA FULLER (NPI# 1861043325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861043325 |
| Entity Type | Individual |
| Full Name | MRS. DEANNA LILA FULLER |
| Practice Address |
21417 122nd Place Se Kent WA 98031 |
| Practice Telephone | 2536390094 |
| Practice Fax Number | 2536390094 |
| Mailing Telephone | 2536390094 |
| Mailing Fax Number | 2536390094 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
WA | Nursing Service Related Providers |
| Street Address |
21417 122ND PLACE SE |
| City | KENT |
| State | WA |
| Zip Code | 98031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386092054 | Amninder Ripsy Nagra-kaur | Licensed Practical Nurse | 10016 Se 218th Pl, Kent, WA 98031 | 2016-06-02 |
| 1033575113 | Amanda Jane Holen | Nurse Practitioner | 202 State Avenue North, Kent, WA 98031 | 2016-01-05 |
| 1578951281 | Katherine Mitchell | Counselor | 12400 Se 233rd St, Kent, WA 98031 | 2015-01-03 |
| 1376804997 | San Lwai | Internal Medicine | 20040 - 120th Ave S.e., Kent, WA 98031 | 2012-05-30 |
| 1013106822 | Fiorella Andrea Diaz | Interpreter | 20029 104th Place Se, Kent, WA 98031 | 2007-10-17 |
| 1750599361 | Northwest Transport | Non-emergency Medical Transport (VAN) | 22627 85th Pl S, Kent, WA 98031 | 2007-05-18 |
| 1750596953 | Rhonda H. James | Licensed Practical Nurse | 21252 94th Pl. S, Kent, WA 98031 | 2007-05-11 |
| 1124172846 | Jeffrey W Baxter | Counselor | 10024 Se 240th, Suite 116 James Street Building, Kent, WA 98031 | 2007-01-22 |
| 1043398407 | Option 1 Northwest Enteral LLC | Durable Medical Equipment & Medical Supplies | 8633 South 212th Street, Kent, WA 98031 | 2006-11-02 |
| 1285610808 | Amber Elise Bryan | Pharmacy Technician | 230240 88th Ave S Apt Ww-202, Kent, WA 98031 | 2005-12-15 |
| Find all providers in zip 98031 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801426200 | Kelly Brown | Technician | 502 Reiten Rd, Kent, WA 98030-6027 | 2020-01-24 |
| 1508417429 | Pamela Stefansky | Technician | 25927 119th Ct Se, Kent, WA 98030 | 2019-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028561 | Tracy Lee Janosik | Technician | 316 N 30th Ave, Yakima, WA 98902-2332 | 2020-09-20 |
| 1922613157 | Rosa Kohler | Technician | 7411 Mill Creek Rd, Walla Walla, WA 99362-8490 | 2020-09-14 |
| 1336754027 | Merry Louise Charbonneau | Technician | 928 E Nora Ave, Spokane, WA 99207-2458 | 2020-09-10 |
| 1619581584 | Luana Irene Hulsey | Technician | 3408 Boxwood Ave, Bellingham, WA 98225-8400 | 2020-09-08 |
| 1285246553 | Sheryl Ann Fisher | Technician | 4124 240th St E, Spanaway, WA 98387-7002 | 2020-08-18 |
| 1881205516 | Megan Marie Henderson | Technician | 1214 Lowry St, Moses Lake, WA 98837-3103 | 2020-08-14 |
| 1396360699 | Sheila Therese Mccool | Technician | 10121 Evergreen Way Ste 25179, Everett, WA 98204-3885 | 2020-06-11 |
| 1811511082 | Brent Sidney Stone | Technician | 200 Nw 148th St, Vancouver, WA 98685-5752 | 2020-06-03 |
| 1538781695 | Nikki L Coleman | Technician | 2125 W Pioneer, Puyallup, WA 98371-5265 | 2020-05-12 |
| 1134748668 | Kara Lee Mathwich | Technician | 904 N 1st St, Renton, WA 98057-5759 | 2020-04-14 |
| 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.