Fuller Premier Transportation LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

FULLER PREMIER TRANSPORTATION LLC

Practice address

3740 Merwin St
Shreveport, LA 71109-4720

Phone

(318) 518-1971

NPI assigned

Jun 10, 2024

Organization subpart

No

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

Authorized official

Name

Charlotte Fuller Charleston

Title

Owner

Phone

(318) 518-1971

Specialties & licenses 1

Addresses

Other names 1

• Fuller Premier Transportation LLC Doing business as

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1235971532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 MERWIN ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711094720",
            "telephone_number": "318-518-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 MERWIN ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711094720",
            "telephone_number": "318-518-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLER PREMIER TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-09",
        "status": "A",
        "authorized_official_last_name": "CHARLESTON",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "FULLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-518-1971"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fuller Premier Transportation LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fset LLC
• David Fucinari, DO
• Hannah Fucinari, DO
• Kyla G Fulco, PHARM D
• Nicholas R Fulco, DPT
• Fuller Transportation LLC
• Aviae Fuller
• Charolette Ann Fuller, RSW
• Colleen C Fuller, M.D.
• Ketra Fuller

• Non-emergency Medical Transport (VAN) in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Non-emergency Medical Transport (VAN) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.