Elizabeth Fuller

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0001226905 Issued in VA

Practice address

1215 3Rd St SW
Roanoke, VA 24016-4611

Phone

(540) 685-2718

Fax

(540) 779-9958

NPI assigned

Oct 6, 2026

Last updated

Oct 16, 2026By 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 1

Addresses

Other names 1

• Elizabeth Divers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1497659064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 3RD ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164611",
            "telephone_number": "540-685-2718",
            "fax_number": "540-779-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 3RD ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164611",
            "telephone_number": "540-685-2718",
            "fax_number": "540-779-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001226905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "DIVERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barbara J Frost, NP
• Emma Frye
• FSC Anesthesia LLC
• Pamela Fuhrman
• Barbara Dawn Fulcher, MS,RN,CS,APRN,BC NP
• Natasha Renee Fuller, PHARMD
• Rual Fuller Jr., PHARMD
• Shannon E Fulp, M.D.
• Matthew Bernard Fulton, DO
• Brigette Funk, LPC

• Registered Nurse in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.