Brittney Nicole Fuller, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

LAT-3131 Issued in NC

Practice address

900 Center Park Dr Ste J
Charlotte, NC 28217-2962

Phone

(919) 616-8272

NPI assigned

Jun 22, 2017

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

State licenses

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1154841971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10114 PINTAIL PL APT 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282691940",
            "telephone_number": "919-616-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CENTER PARK DR STE J",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282172962",
            "telephone_number": "919-616-8272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 New Rail Drive",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "27513",
            "country_code": "US",
            "telephone_number": "919-678-8382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 New Rail Drive",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "27513",
            "country_code": "US",
            "telephone_number": "919-678-8382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULLER",
        "first_name": "BRITTNEY",
        "middle_name": "NICOLE",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "LAT-3131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Full Square Ventures Inc (Transport Care Express)
• Richetrina Fullard, CCS
• Therese Fulle, RPH
• Arscynthia Fuller, CPSS
• Brittany L Fuller, NCC, LCMHCA
• Caitlin Jessica Fuller, PA-C
• Carlos Fuller, LMBT# 11837
• Christina Lauren Fuller
• Denisha Fuller
• Devonte Fuller

• Athletic Trainer in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.