Fulfillment in Training

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FULFILLMENT IN TRAINING

Practice address

7117 S 7TH LN
Phoenix, AZ 85041-6766

Phone

(480) 326-7762

NPI assigned

Sep 26, 2023

Organization subpart

No

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

Authorized official

Name

Stephen Baines

Title

Chief Executive Officer

Phone

(480) 326-7762

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1093594467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7117 S 7TH LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7117 S 7TH LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416766",
            "telephone_number": "480-326-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULFILLMENT IN TRAINING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "BAINES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "480-326-7762"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarisa Fujiwara
• Robert T. Fukuchi, MD
• Nicole Alison Fukuzawa, OTR/L
• Derek J Fulcher, MD
• Jacqueline N Fulcher, PHD, LMSW
• Nicola Fulk
• Laurel Fulkerson, LPN
• Lisa Fulkerson
• Full Anesthesia Services, LLC
• Full Hearts Hospice Care LLC

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.