Quinetta S Fuller

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

11100 Saint Mark Ave
Cleveland, OH 44111-3781

Phone

(334) 304-8096

NPI assigned

Aug 8, 2025

Last updated

Aug 8, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1396620217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 SAINT MARK AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441113781",
            "telephone_number": "334-304-8096",
            "fax_number": "334-304-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 SAINT MARK AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441113781",
            "telephone_number": "334-304-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "QUINETTA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie E Fuller, CNP
• Ebay L Fuller
• Keith A Fuller, MD
• Kimberly A Fuller, LISW-S
• Mi'Kia Ruth Elizabeth Fuller I, STNA
• Sandrell Fuller, RN
• Thomas A Fuller, MD
• Chardae Fullerton-Pique
• Leron Fullerton
• Robert Fullerton

• In Home Supportive Care Agency in Cleveland, OH
• Providers in Cleveland, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.