MICHAEL FULLER (NPI# 1881218303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881218303 |
| Entity Type | Individual |
| Full Name | MICHAEL FULLER |
| Practice Address |
3411 Division Dr West Plains MO 65775-5789 |
| Practice Telephone | 4172579152 |
| Mailing Telephone | 4172579152 |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013577667 | Michael Fuller | Licensed Practical Nurse | 1539 Cuba Rd, Mayfield, KY 42066-6809 | 2019-06-17 |
| 1376027508 | Michael Fuller | Case Manager/Care Coordinator | 3284 N Bend Rd Ste 108, Cincinnati, OH 45239-7688 | 2018-09-24 |
| 1144638594 | Michael Fuller | Counselor | 777 Silver Oak Dr Apt D117, Carson City, NV 89706-1908 | 2014-07-30 |
| 1568777811 | Michael Eugene Fuller | Counselor | 1743 Gay Dr, Orlando, FL 32803-1914 | 2010-08-11 |
| 1972816221 | Michael Daniel Fuller | Dentist | 7760 W Voice of America Park Dr Ste A, West Chester, OH 45069-3371 | 2010-07-15 |
| 1245461300 | Michael Fuller | Chiropractor | 1143 Kildaire Farms Rd, Cary, NC 27511-4563 | 2009-08-06 |
| 1972519049 | Michael Fuller | Dentist | 7650 Currell Blvd Ste 200, Woodbury, MN 55125-8209 | 2006-07-31 |
| 1609498302 | Michael L Fuller | Psychologist | 205 N 7th St, Zanesville, OH 43701-3791 | 2020-05-15 |
| 1780044586 | Michael Fuller | General Practice | 6490 Main St, Ste 1, Williamsville, NY 14221-5853 | 2016-03-07 |
| 1083084115 | Michael Fuller | Counselor | 1100 N D St, San Bernardino, CA 92410-3524 | 2015-10-01 |
| Street Address |
3411 DIVISION DR |
| City | WEST PLAINS |
| State | MO |
| Zip Code | 65775-5789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578666723 | Kelley Gaye Wilbanks | Counselor | 3411 Division Dr, West Plains, MO 65775-5789 | 2006-09-06 |
| 1730790031 | Brittney Lange | Technician, Other | 3411 Division Dr, West Plains, MO 65775-5789 | 2020-08-11 |
| 1750903084 | Joel Brockett | Technician | 3411 Division Dr, West Plains, MO 65775-5789 | 2020-05-08 |
| 1497381297 | Richard Alverson | Technician | 3411 Division Dr, West Plains, MO 65775-5789 | 2020-03-12 |
| 1497387872 | Eulesa Johnson | Technician | 3411 Division Dr, West Plains, MO 65775-5789 | 2020-02-04 |
| 1720627268 | Kimberley Faber | Technician | 3411 Division Dr, West Plains, MO 65775-5789 | 2020-01-02 |
| 1720626393 | Emily Swan | Technician | 3411 Division Dr, West Plains, MO 65775-5789 | 2019-12-13 |
| 1043852668 | Dianna Hogan | Technician | 3411 Division Dr, West Plains, MO 65775-5789 | 2019-10-15 |
| 1346881539 | Lauren Franz | Marriage & Family Therapist | 3411 Division Dr, West Plains, MO 65775-5789 | 2019-09-30 |
| 1982258182 | Cynthia Kiesling | Technician, Other | 3411 Division Dr, West Plains, MO 65775-5789 | 2019-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1962958678 | Fanny Ray | Massage Therapist | 1105 Independence Drive, West Plains, MO 65775 | 2016-09-01 |
| 1295184166 | Shaunda Faye Wolfe | Case Manager/Care Coordinator | 2301 K Hwy Apt. 2, West Plains, MO 65775 | 2016-06-10 |
| 1740694009 | Mary Loretta Rogganbuck | Counselor | 1211 Porter Wagoner #23, West Plains, MO 65775 | 2014-06-16 |
| 1548673858 | John Tollenaar | Physical Therapist | 1480 8th Streeet, West Plains, MO 65775 | 2014-06-04 |
| 1861818080 | Raymond Eugene Richardson | Case Manager/Care Coordinator | 1015 Lanton Road, West Plains, MO 65775 | 2014-03-12 |
| 1710309083 | Jared M Sadowitz | Physical Therapist | 1100 Kentucly Ave, West Plains, MO 65775 | 2014-01-06 |
| 1346682184 | Mark L. Dake Dds, Msd and David Sander Dmd, Mds | Dentist | 181 N. Kentucky, Suite 300, West Plains, MO 65775 | 2013-07-22 |
| 1427307024 | Anita M. Nelson | Behavioral Analyst | 8388 Pr 2731, West Plains, MO 65775 | 2012-08-29 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| Find all providers in zip 65775 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151298 | Johnna Sherman | Health Educator | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2019-08-29 |
| 1194282954 | Cory Spencer Adams | Health Educator | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2019-02-27 |
| 1285912303 | Joel Reed | Health Educator | 3411 Division Dr, West Plains, MO 65775-5789 | 2011-07-22 |
| 1396054284 | Stacey Ozias | Health Educator | 1111 N Kentucky Ave, West Plains, MO 65775-2028 | 2010-09-27 |
| 1952610842 | Christie Michelle Koch | Health Educator | 1111 N Kentucky Ave, West Plains, MO 65775-2028 | 2010-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194345561 | Diversity Telehealth, LLC | Health Educator | 1601 East 18th Street, 320a, Kansas City, MO 64108 | 2020-04-25 |
| 1083258974 | Kimberly Cecilia Thro | Health Educator | 2815 Scott Ave Ste D, Saint Louis, MO 63103-3032 | 2019-11-04 |
| 1033767314 | Jacob Showalter | Health Educator | 1126 N Broadway Ave Bldg A, Springfield, MO 65802-4158 | 2019-08-29 |
| 1952958415 | Lisa Spector | Health Educator | 1678 E Belmont St, Springfield, MO 65802-3332 | 2019-08-20 |
| 1306309208 | Martin Caupp | Health Educator | 326 S 21st St Ste 400, Saint Louis, MO 63103-2267 | 2019-04-09 |
| 1881154821 | Drew Lewis Foundation, Inc. | Health Educator | 1126 N Broadway Ave, Springfield, MO 65802-4158 | 2019-03-25 |
| 1164900981 | Susan Marie Rose | Health Educator | 11960 Westline Industrial Dr Ste 232, Saint Louis, MO 63146-3209 | 2018-08-02 |
| 1245717743 | Megan Theresa Campbell | Health Educator | 326 S 21st St Fl 4, Saint Louis, MO 63103-2272 | 2018-07-26 |
| 1063924314 | Emily Anne Fenton | Health Educator | 391 Madewood Ln, Chesterfield, MO 63017-3229 | 2017-10-26 |
| 1942747118 | Jefferson Franklin Community Action Corp | Health Educator | 2 Merchants Dr, Hillsboro, MO 63050 | 2017-01-26 |
| Find all providers with the same taxonomy | ||||
| City | WEST PLAINS |
| Zip Code | 65775 |
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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.