ANDREA FULLER (NPI# 1881685543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881685543 |
Entity Type | Individual |
Full Name | ANDREA FULLER |
Credential | PT, DPT, SCS |
Practice Address |
3851 Roger Brooke Dr Mche-qd/credentials Fort Sam Houston TX 78234-4501 |
Mailing Address |
20823 Stevens Creek Blvd Ste 200 Cupertino CA 95014-2112 |
Practice Telephone | 2109162460 |
Mailing Telephone | 4082526076 |
Enumeration Date | 2005-11-02 |
Last Update Date | 2019-10-07 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251S0007X |
Physical Therapist Specialization: Sports |
05007204A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528058385 | Andrea J Fuller | Nurse Practitioner | 590 Historic Old Hwy 441, Demorest, GA 30535 | 2005-10-24 |
1558811711 | Andrea Nicole Fuller | Physician Assistant | 911 23rd St, Canyon, TX 79015-4645 | 2016-10-11 |
1063754133 | Andrea Kay Fuller | Anesthesiology | 410 W 10th Ave, Columbus, OH 43210-1240 | 2013-03-26 |
1174821201 | Andrea Fuller | Nurse Practitioner | 25 N Winfield Road, Winfield, IL 60190 | 2011-03-15 |
1548381569 | Andrea Fuller | Marriage & Family Therapist | 621 Forest Ave, Pacific Grove, CA 93950-4264 | 2007-04-03 |
Street Address |
3851 ROGER BROOKE DR MCHE-QD/CREDENTIALS |
City | FORT SAM HOUSTON |
State | TX |
Zip Code | 78234-4501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912903931 | Doreen M. Lounsbery | Internal Medicine | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2005-06-23 |
1821561853 | Jessica Dolan | Dietitian, Registered | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2019-01-02 |
1851842306 | Michael Stablein | Student in an Organized Health Care Education/Training Program | 3851 Roger Brooke Dr, Mche-qd, Fort Sam Houston, TX 78234-4501 | 2016-10-19 |
1588114078 | Daniel Hamilton | Optometrist | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2016-10-07 |
1932657756 | Erica Russell | Physical Therapist | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2016-09-21 |
1437502887 | Glenn Wayne Brietzke Jr. | Dietitian, Registered | 3851 Roger Brooke Dr, Mche-qd, Fort Sam Houston, TX 78234-4501 | 2016-07-21 |
1023483013 | Christine Setty | Student in an Organized Health Care Education/Training Program | 3851 Roger Brooke Dr, Mcheqd, Fort Sam Houston, TX 78234-4501 | 2015-12-02 |
1487024642 | Deserae Gonzalez | Social Worker | 3851 Roger Brooke Dr, Bamc Mche-qd (creds), Fort Sam Houston, TX 78234-4501 | 2015-09-30 |
1871969014 | Antoine Williams II | Registered Nurse | 3851 Roger Brooke Dr, San Antonio Military Medcial Center, Fort Sam Houston, TX 78234-4501 | 2015-08-11 |
1033503990 | Eldon Snyder | General Practice | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234 | 2015-03-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
1215564729 | Travis Frantz | Student in an Organized Health Care Education/Training Program | 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-25 |
1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
1235793407 | Jessica Maria May Franklin | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 | 2019-04-23 |
1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
1053805515 | Rene Espinosa | Social Worker | San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 | 2018-06-19 |
1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
Find all providers in zip 78234 |
Taxonomy Code | 2251S0007X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Sports |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477537959 | Joseph Martin Molloy | Physical Therapist | Brooke Army Medical Center, Fort Sam Houston, TX 78234 | 2005-11-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811506157 | Emma Julia Regenbaum | Physical Therapist | 19200 Preston Rd # 120, Dallas, TX 75252-2450 | 2020-07-22 |
1629603592 | Dorcas Copa | Physical Therapist | 1612 Stuart St, Houston, TX 77004-2945 | 2020-03-11 |
1669007761 | Kyle Barnett | Physical Therapist | 14216 Vernon Ave, Lubbock, TX 79423-7715 | 2020-03-09 |
1023643517 | Kevin Maloney | Physical Therapist | 2206 Stuart St, Houston, TX 77004-3151 | 2020-03-05 |
1427682673 | Thomas Latimore | Physical Therapist | 9305 Pinecroft Dr Ste 450, The Woodlands, TX 77380-3483 | 2020-02-26 |
1871127001 | Steven Higbie | Physical Therapist | 17520 W Grand Pkwy S Ste 100, Sugar Land, TX 77479-4759 | 2020-02-26 |
1841830122 | Justin C Tallard | Physical Therapist | 4885 Alpha Rd Ste 135, Dallas, TX 75244-4637 | 2020-01-14 |
1881234474 | Brian Nguyen | Physical Therapist | 16636 House Hahl Rd, Cypress, TX 77433-5357 | 2020-01-10 |
1992355622 | Steven Islas | Physical Therapist | 2700 W Sam Houston Pkwy N, Houston, TX 77043-1608 | 2019-09-15 |
1316591886 | John Walter Warner Jr. | Physical Therapist | 18200 Katy Fwy. Wa.0540.01, Houston, TX 77094 | 2019-08-01 |
Find all providers with the same taxonomy |
City | FORT SAM HOUSTON |
Zip Code | 78234 |
Please comment or provide details below to improve the information on ANDREA FULLER.
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.