Active NPI
Kaitlin Marie Fuller
- Occupational Therapist
- Cumberland, RI
National Provider Identifier
1598191017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 11018
- Practice address
- 202 Harriet LN
Cumberland, RI 02864-4615 - Phone
- (401) 465-7629
- NPI assigned
- Sep 16, 2013
- Last updated
- Mar 6, 2025
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 11018 | MA | Primary |
Addresses
Primary practice location
202 Harriet LN
Cumberland, RI 02864-4615
Mailing address
202 Harriet LN
Cumberland, RI 02864-4615
Phone (401) 465-7629
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11018 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1598191017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 HARRIET LN",
"city": "CUMBERLAND",
"state": "RI",
"postal_code": "028644615",
"telephone_number": "401-465-7629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 HARRIET LN",
"city": "CUMBERLAND",
"state": "RI",
"postal_code": "028644615",
"telephone_number": "401-465-7629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLER",
"first_name": "KAITLIN",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-16",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "11018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cumberland, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.