Sandra Fulmore

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

10-312462 Issued in NY

Practice address

190 Pennels Dr
Rochester, NY 14626-4912

Phone

(843) 568-7946

NPI assigned

Nov 17, 2012

Last updated

Nov 17, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1353110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353110400000",
    "number": "1174867923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 PENNELS DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264912",
            "telephone_number": "843-568-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 PENNELS DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264912",
            "telephone_number": "843-568-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULMORE",
        "first_name": "SANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-17",
        "last_updated": "2012-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "10-312462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Fuller
• Cailin Marie Fuller, PNP
• Samira Fuller
• Joseph Fullone, MD
• Susan Laurel Fulmer, MD
• Teronica Fults, DNP
• Patrick Fultz, M.D.
• Matthew Funderburk, M.D.
• Chunkit Fung, M.D.
• Timothy Tenren Fung, MD

• Licensed Practical Nurse in Rochester, NY
• Providers in Rochester, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2012; 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.