Fuller Transportation LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

FULLER TRANSPORTATION LLC

Practice address

916 Francais Dr
Shreveport, LA 71118-4050

Phone

(318) 572-6473

NPI assigned

Jun 26, 2024

Organization subpart

No

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

Authorized official

Name

Monique Fuller

Title

Owner

Phone

(318) 572-6473

Specialties & licenses 1

Addresses

Other names 1

• FULLER TRANSPORTATION LLC Former legal business name

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1124863808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 FRANCAIS DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711184050",
            "telephone_number": "318-572-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 FRANCAIS DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711184050",
            "telephone_number": "318-572-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLER TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-572-6473"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FULLER TRANSPORTATION LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• David Fucinari, DO
• Hannah Fucinari, DO
• Kyla G Fulco, PHARM D
• Nicholas R Fulco, DPT
• Fuller Premier Transportation LLC
• Aviae Fuller
• Charolette Ann Fuller, RSW
• Colleen C Fuller, M.D.
• Ketra Fuller
• Precious Lorrell Fuller

• Non-emergency Medical Transport (VAN) in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Non-emergency Medical Transport (VAN) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.