Nicholas Grey Fuller, RN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

0001326753 Issued in VA

Practice address

1300 E Marshall St
Richmond, VA 23298-5028

Phone

(804) 828-9000

NPI assigned

Feb 21, 2025

Last updated

Feb 21, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicholas Grey Fuller Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1518763374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W MARSHALL ST APT 38",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232203984",
            "telephone_number": "276-285-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E MARSHALL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985028",
            "telephone_number": "804-828-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "NICHOLAS",
        "middle_name": "GREY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "VA",
            "license": "0001326753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLAS",
            "last_name": "FULLER",
            "middle_name": "GREY",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Full Potential Youth Services
• Courtney Midgette Fuller, R.PH.
• Frank Bernard Fuller III, PHARMD
• James Woodrow Fuller Jr., PH.D., LCSW
• Latosha Fuller
• Richard Westwood Fuller, M.D.
• Natalie Fullerton, PHARMD
• Francesca Mosteller Fultineer
• Lavishia Tiah Fulton
• Arlene Fultz, NP

• Adult Psychiatric/Mental Health Registered Nurse in Richmond, VA
• Providers in Richmond, VA by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.