Cierra Fuller

Key facts

NPI

1083477178

Entity type

Individual (NPI type 1)

Primary specialty

Chore Provider 372500000X

Practice address

415 Locust St
Lockland, OH 45215-2813

Phone

(513) 477-6310

NPI assigned

Feb 1, 2024

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 1, 2024.

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1083477178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 LOCUST ST",
            "city": "LOCKLAND",
            "state": "OH",
            "postal_code": "452152813",
            "telephone_number": "513-477-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 LOCUST ST",
            "city": "LOCKLAND",
            "state": "OH",
            "postal_code": "452152813",
            "telephone_number": "513-477-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "CIERRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockland, OH

• A New Beginning Community Care,LLC
• Kristen Brevoort
• Dana Lee Eckonen
• Robin Jones
• Mark Robinson OD
• Mark K. Robinson, O.D.
• The Healthcare Connection, Inc.
• Regina Williams

All providers in Lockland, OH · Chore Provider in Ohio