Carlos Fuller, LMBT# 11837

Primary specialty

ReflexologistTaxonomy code 173C00000X

License

LMBT# 11837 Issued in NC

Practice address

1406 Beatties Ford Rd
Charlotte, NC 28216-4550

Phone

(704) 492-6784

NPI assigned

Jul 12, 2012

Last updated

Jul 12, 2012By the provider in NPPES

Sex

Male

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": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1306101563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 ALLEGHANY ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282083742",
            "telephone_number": "704-492-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 BEATTIES FORD RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282164550",
            "telephone_number": "704-492-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "CARLOS",
        "credential": "LMBT# 11837",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "NC",
            "license": "LMBT# 11837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therese Fulle, RPH
• Arscynthia Fuller, CPSS
• Brittany L Fuller, NCC, LCMHCA
• Brittney Nicole Fuller, LAT, ATC
• Caitlin Jessica Fuller, PA-C
• Christina Lauren Fuller
• Denisha Fuller
• Devonte Fuller
• Donta' C Fuller
• Lasheree Fuller

• Reflexologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Reflexologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.