Fulltimefather LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FULLTIMEFATHER LLC

Doing business as

FullTimeFather Life Coach

Practice address

525 Clarendon Ave
Columbus, OH 43223-1628

Phone

(614) 989-4616

NPI assigned

May 30, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fannisha I.S. Page, CHW

Title

Director of Engagement

Phone

(614) 989-4616

Specialties & licenses 1

Addresses

Other names 1

• FullTimeFather Life Coach Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Von Potts II

  • Case Manager/Care Coordinator
  • Columbus, OH
  • NPI 1326888926
  NPD

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1376383976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 CLARENDON AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432231628",
            "telephone_number": "614-989-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 CLARENDON AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432231628",
            "telephone_number": "614-989-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLTIMEFATHER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "FANNISHA",
        "authorized_official_middle_name": "I.S.",
        "authorized_official_title_or_position": "DIRECTOR OF ENGAGEMENT",
        "authorized_official_telephone_number": "614-989-4616",
        "authorized_official_credential": "CHW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FullTimeFather Life Coach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Todd Fuller, M.S.N., ACNP-BC
• Victoria Alexander Fullerton, MSW
• Michelle Anne Fullmer
• Rhett Leigh Fullmer, MD
• Spencer Fullmer, D.D.S.
• James P Fulop, MD
• Ember Marie Fulton, OTR/L
• Kim Anise Fulton, LSW
• Kristen Ann Fults-Ganey, MD
• Sarah Fults

• Community/Behavioral Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.