NICKY FULLER (NPI# 1902468556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902468556 |
| Entity Type | Individual |
| Full Name | NICKY FULLER |
| Practice Address |
3201 Nw 45th Ter Lauderdale Lakes FL 33319-5744 |
| Practice Telephone | 7864799977 |
| Mailing Telephone | 7864799977 |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2020-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
11003023 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3201 NW 45TH TER |
| City | LAUDERDALE LAKES |
| State | FL |
| Zip Code | 33319-5744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720694367 | Lt Health and Wellness LLC | Home Health | 3201 Nw 45th Ter, Lauderdale Lakes, FL 33319-5744 | 2020-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548876733 | Amerktrans Inc | Non-emergency Medical Transport (VAN) | 7481 W Oakland Blvd, 204 C, Lauderhill, FL 33319 | 2020-09-22 |
| 1285264309 | Kevia Figueroa | Marriage & Family Therapist | 4699 N. State Road 7, Suite B1, Tamarac, FL 33319 | 2020-01-16 |
| 1922640283 | A- Plus Medical and Rehab Center Inc | Family Medicine | 4699 N.state Road 7, Suite B 2, Tamarac, FL 33319 | 2019-10-08 |
| 1538711296 | Center of Hope Healthcare, LLC | Family Medicine | 6879 W Commerical Blvd, Tamarac, FL 33319 | 2019-07-12 |
| 1518430362 | Trinity Urgent Care Corp | Clinic/Center | 5411 North State Road 7, Tamarac, FL 33319 | 2019-01-04 |
| 1073007282 | Monthia Allison Ricketts | Registered Nurse | 5841 Nw 56th Place, Tamarac, FL 33319 | 2018-06-20 |
| 1518454164 | Prudent Pharmacy | Pharmacy | 5575 N State Road 7 Ste B, Lauderdale Lakes, FL 33319 | 2018-04-19 |
| 1831603034 | Kristi Dawn Messer | Social Worker | 7491 West Oakland Park Blvd, Suite 308, Lauderhill, FL 33319 | 2017-11-27 |
| 1356855639 | Metamorphosis Psyche LLC | Clinic/Center | 7051 West Commercial Blvd, Suite 3b, Tamarac, FL 33319 | 2017-11-26 |
| 1730693151 | Patricia Turner | Marriage & Family Therapist | 4699 N. State Rd. 7, B-1, Tamarac, FL 33319 | 2017-11-21 |
| Find all providers in zip 33319 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871116020 | Trenae Garibaldi | Nurse Practitioner | 4850 W Oakland Park Blvd Ste 219, Lauderdale Lakes, FL 33313-7261 | 2020-05-22 |
| 1255980066 | Shaly Robince | Nurse Practitioner | 4900 W Oakland Park Blvd Ste 207, Lauderdale Lakes, FL 33313-1501 | 2019-09-05 |
| 1538728076 | Trecia Robinson | Nurse Practitioner | 3737 Nw 24th St, Lauderdale Lakes, FL 33311-2616 | 2019-06-09 |
| 1417435553 | Christina Rampaul-chen | Nurse Practitioner | 2331 N State Road 7 Ste 202, Lauderdale Lakes, FL 33313-3772 | 2018-07-31 |
| 1831608710 | Dorothy Remy Pierre | Nurse Practitioner | 2412 N State Rd, Lauderdale Lakes, FL 33313 | 2017-09-24 |
| 1003331133 | Jonelle A Mattis | Nurse Practitioner | 4430 Nw 34th St, Lauderdale Lakes, FL 33319-5702 | 2017-08-10 |
| 1376077479 | Rose Zamor | Nurse Practitioner | 4699 N State Road 7 Ste G, Lauderdale Lakes, FL 33319-5888 | 2017-04-14 |
| 1053854315 | Lazaro Luis Gafas | Nurse Practitioner | 4900 W Oakland Park Blvd Ste 105&301, Lauderdale Lakes, FL 33313-7500 | 2016-11-18 |
| 1639628027 | Stephanie Carol Jones Brown | Nurse Practitioner | 4900 W Oakland Park Blvd Ste 309, Lauderdale Lakes, FL 33313-1583 | 2016-09-26 |
| 1285085134 | Aaliya Ali | Nurse Practitioner | 2951 Nw 49th Ave Ste 301, Lauderdale Lakes, FL 33313-1617 | 2016-06-22 |
| Find all providers in LAUDERDALE LAKES | ||||
| City | LAUDERDALE LAKES |
| Zip Code | 33319 |
Please comment or provide details below to improve the information on NICKY 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.