Freida Fuller

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

104781 Issued in GA

Practice address

3001 Mercer University Dr
Atlanta, GA 30341-4115

Phone

(678) 547-6742

NPI assigned

Jul 23, 2013

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": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1295177947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3457 ROSE ARBOR CT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303404038",
            "telephone_number": "770-856-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 MERCER UNIVERSITY DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414115",
            "telephone_number": "678-547-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "FREIDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "104781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Full Circle Mentoring Agency, Inc
• Linda Fullam
• Arleen Annette Fuller, PH.D.
• Audrey Rozeman Fuller, NP
• Cody Leiann Fuller, RN
• Jamie Marie Fuller, CPNP
• Lindsey Fuller, M.D.
• Natalia M Fuller, MD
• Riley Fuller
• Ronald Keith Fuller Jr., AG-ACNP

• Family Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.