Active NPI
Rosemary Fuller, R.N.
- Registered Nurse
- Mesa, AZ
National Provider Identifier
1376907097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN016146
- Practice address
- 7550 E Adobe St
Mesa, AZ 85207-4702 - Phone
- (480) 641-7644
- Fax
- (480) 924-6189
- NPI assigned
- Apr 8, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN016146 | AZ | Primary |
Addresses
Primary practice location
7550 E Adobe St
Mesa, AZ 85207-4702
Mailing address
PO Box 1213
Mesa, AZ 85211-1213
Phone (480) 641-7644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN016146 | AZ | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460073600000",
"number": "1376907097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1213",
"city": "MESA",
"state": "AZ",
"postal_code": "852111213",
"telephone_number": "480-641-7644",
"fax_number": "480-924-6189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7550 E ADOBE ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852074702",
"telephone_number": "480-641-7644",
"fax_number": "480-924-6189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLER",
"first_name": "ROSEMARY",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-08",
"last_updated": "2016-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN016146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.