Fullcircle Aesthetics LLC.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

MSG005039 Issued in PA

Legal business name

FULLCIRCLE AESTHETICS LLC.

Practice address

125 Forest Ave
Apt 8-C
Ambler, PA 19002-5934

Phone

(215) 740-4213

NPI assigned

Mar 23, 2017

Last updated

Mar 23, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tiffany S. Fennell, L.M.T.NPI 1891239364

Title

Ower

Phone

(215) 740-4213

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiffany S. Fennell, L.M.T.

  • Specialist
  • Ambler, PA
  • NPI 1891239364
  NPD (past) Authorized official

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1164953998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 FOREST AVE",
            "address_2": "APT 8-C",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190025934",
            "telephone_number": "215-740-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 FOREST AVE",
            "address_2": "APT 8-C",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190025934",
            "telephone_number": "215-740-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLCIRCLE AESTHETICS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "FENNELL",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWER",
        "authorized_official_telephone_number": "215-740-4213",
        "authorized_official_credential": "L.M.T."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PA",
            "license": "MSG005039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela C Fox, OTR/L
• Emily Freedman, LCSW
• Veronica Friedrich, PHARMD
• Nana Serwah Frimpong, PHARMD
• Michael P Frost, M.D.
• Jill Heather Fuller
• Functional Health Center LLC
• Gail Vant Zelfde, PH.D., LLC
• Ann Marie Galioto
• Caitlin Michelle Gallagher, LBS

• Health Maintenance Organization in Ambler, PA
• Providers in Ambler, PA by specialty
• Health Maintenance Organization in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.