Yvonne Janice Fuller

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

2808 NW 31St St
Oklahoma City, OK 73112-7407

Phone

(405) 706-6764

NPI assigned

Dec 3, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1093352684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7321 MELROSE LN APT 4",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731275149",
            "telephone_number": "405-706-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 NW 31ST ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127407",
            "telephone_number": "405-706-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "YVONNE",
        "middle_name": "JANICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleb Evan Fuller, DO
• Katheryn Fuller, PHD, RD/LD
• Marni Fuller, DDS
• Raechyl Fuller
• Wendell Fuller, PHARM.D.
• Zenobia Fuller
• Brandy Dawn Fulson, PTA
• Fulton Eye Care PLLC
• Samantha A Fulton
• Angela Fultz, M.A.

• Peer Specialist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.