Melanie Fuller, L.AC.
Individual provider Active NPI Acupuncturist · Boonville, CA
NPI 1194169508 · NPPES record last updated Oct 4, 2022
Key facts
- NPI
- 1194169508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- AC15056 (CA)
- Practice address
- 13500 Airport Rd
Boonville, CA 95415-9133 - Phone
- (707) 895-3477
- Fax
- (707) 895-2035
- NPI assigned
- Apr 29, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC15056 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Valley Health Center | Current |
Accepting new patients | |
| Anderson Valley Ambulance Service | Past |
Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BICHAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC15056 | CA | Yes |
Addresses
Primary practice location
13500 Airport Rd
Boonville, CA 95415-9133
Mailing address
PO Box 338
Boonville, CA 95415-0338
Phone (707) 895-3477
Other providers in Boonville, CA
- Mark Justin Apfel
- Peter H. Barg
- Cyd Bernstein
- Susan J Bridge-Mount
- Gabriela Espinoza
- William Housley
- Christopher Howard
- Toni Marie Mann
- Cindy S Novella
- Stephanie Shreve
All providers in Boonville, CA · Acupuncturist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.