Active NPI
Tamala Fuller
- Counselor
- Rocky Mount, NC
National Provider Identifier
1083864375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 860 Tiffany Blvd
Rocky Mount, NC 27804-1809 - Phone
- (252) 442-8100
- Fax
- (252) 442-9798
- NPI assigned
- Sep 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
860 Tiffany Blvd
Rocky Mount, NC 27804-1809
Mailing address
4300 110 Sapphire Court
Greenville, NC 27834-9011
Phone (252) 830-7540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Port Human Services | Counselor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222214400000",
"number": "1083864375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 110 SAPPHIRE COURT",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278349011",
"telephone_number": "252-830-7540",
"fax_number": "252-413-0932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 TIFFANY BLVD",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278041809",
"telephone_number": "252-442-8100",
"fax_number": "252-442-9798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLER",
"first_name": "TAMALA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-24",
"last_updated": "2008-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.