Elizabeth Ann Fullner, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2919 Issued in NE

Practice address

1897 134TH Rd
Osceola, NE 68651-4891

Phone

(308) 883-6510

NPI assigned

Sep 1, 2022

Last updated

Sep 29, 2023By 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

Other names 1

• Mrs. Elizabeth Ann Fullner Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Whole Hygiene LLC

  • Public Health or Welfare Agency
  • Osceola, NE
  • NPI 1760190821
  NPD Authorized official

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1265152995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W WASHINGTON ST",
            "city": "SHELBY",
            "state": "NE",
            "postal_code": "686625651",
            "telephone_number": "308-883-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1897 134TH RD",
            "city": "OSCEOLA",
            "state": "NE",
            "postal_code": "686514891",
            "telephone_number": "308-883-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLNER",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NE",
            "license": "2919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "elizabethfullner@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1897 134th Rd",
            "city": "Osceola",
            "state": "NE",
            "country_code": "US",
            "postal_code": "686514891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "FULLNER",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "RDH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• City of Osceola (Osceola Ambulance Service)
• Jennifer Conkel, RN BSN
• County of Polk
• David Jameson (Annie Jeffrey Family Medicine)
• Bryan D Dickey, DDS
• Janet Joan Gabel
• Kuhill, Inc (Trav's U-Save Pharmacy)
• Kuhill, Inc (LTC Trav's U-Save Pharmacy)
• Leah Rae Noyd
• Jena M Ockander, SLP

• Dental Hygienist in Osceola, NE
• Providers in Osceola, NE by specialty
• Dental Hygienist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.