Nancy C Fuller, D. C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0060000713 Issued in VT

Practice address

104 Robin Hood Dr
Suite 1
Swanton, VT 05488-8003

Phone

(802) 868-7725

Fax

(802) 868-3703

NPI assigned

May 14, 2007

Last updated

Sep 20, 2013By 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 identifiers 1

Other names 1

• Nancy C Callegari Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1306051222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CANADA ST",
            "city": "SWANTON",
            "state": "VT",
            "postal_code": "054881322",
            "telephone_number": "802-868-7725",
            "fax_number": "802-868-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 ROBIN HOOD DR",
            "address_2": "SUITE 1",
            "city": "SWANTON",
            "state": "VT",
            "postal_code": "054888003",
            "telephone_number": "802-868-7725",
            "fax_number": "802-868-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "NANCY",
        "middle_name": "C",
        "credential": "D. C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "0060000713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012108",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "CALLEGARI",
            "middle_name": "C",
            "credential": "D. C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Chiropractor in Swanton, VT
• Providers in Swanton, VT by specialty
• Chiropractor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.