Krissie Fullmer, SSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

14201000-3503 Issued in UT

Practice address

6364 S Highland Dr Ste 201
Murray, UT 84121-2117

Phone

(801) 209-1357

NPI assigned

Sep 23, 2026

Last updated

Sep 23, 2026By the provider in NPPES

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Envision Quality Supports

  • Case Manager/Care Coordinator
  • Murray, UT
  • NPI 1205749066
  Authorized official Same address or phone

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1215840079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 S LINDSAY LN",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841211205",
            "telephone_number": "801-209-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6364 S HIGHLAND DR STE 201",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841212117",
            "telephone_number": "801-209-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLMER",
        "first_name": "KRISSIE",
        "credential": "SSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "14201000-3503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cami Fuhriman, CSW
• Shiro Fujita, MD
• Brian W Fukushima, MD
• Kelley Fulghum, M.D.
• Kadence Fulks, RBT
• Kevin C Funk, MD
• Kimberly Anne Funk
• Deborah P. Furman, MD
• Christopher D Furness
• Jasmine Furnish, PA-C

• Social Worker in Murray, UT
• Providers in Murray, UT by specialty
• Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.