Karen R Fullwood, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

02431 Issued in MD

Practice address

4134 E Joppa Rd Ste 101
Nottingham, MD 21236-2277

Phone

(410) 256-1006

Fax

(410) 256-0088

NPI assigned

Feb 21, 2007

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

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 and National Provider Directory roles.

• Mary Ellen Padusi

  • Optometrist
  • Baltimore, MD
  • NPI 1144472283
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1366587990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4134 E JOPPA RD STE 101",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362277",
            "telephone_number": "410-256-1006",
            "fax_number": "410-256-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4134 E JOPPA RD STE 101",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362277",
            "telephone_number": "410-256-1006",
            "fax_number": "410-256-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLWOOD",
        "first_name": "KAREN",
        "middle_name": "R",
        "credential": "HIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MD",
            "license": "02431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS",
            "identifier": "421CCL",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashiara Freeman
• Korine French
• Heather Michelle Friedman, D.D.S.
• Ilissa Frye
• Lacreasha Fullard, CRNP-PMH
• Natalia Fulton
• Myeisha Furr, NP
• Husham A Gabralla, DDS
• Ashley Smith Gallant, LCPC
• Ashley Gamatoria, LCSW-C

• Hearing Instrument Specialist in Nottingham, MD
• Providers in Nottingham, MD by specialty
• Hearing Instrument Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.