Active NPI
Linda Marie Fuller, ANP, CDE
- Adult Health Nurse Practitioner
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 306314
- Practice address
- 701 Seneca St Ste 646C
Buffalo, NY 14210-1351 - Phone
- (716) 995-4450
- NPI assigned
- Feb 27, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 369389-1 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | 306314 | NY | Primary |
Addresses
Primary practice location
701 Seneca St Ste 646C
Buffalo, NY 14210-1351
Mailing address
515 Swan Street
Dunkirk, NY 14048-9766
Phone (716) 366-7331
Other practice location 1
515 Swan St
Dunkirk, NY 14048-2407
Phone (716) 366-7331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 369389-1 | Other | NY | NYS NURSING LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
268 W Main St
Suite 2
Fredonia, NY 14063-2200
Phone (716) 672-2000
3898 Vineyard Dr
Dunkirk, NY 14048-3559
Phone (716) 710-8266
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 369389-1 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Erie Medical Services, PC | Current | Accepting new patients | |
| General Physician, PC | Current | Accepting new patients |
Locations
3898 Vineyard Dr
Ste 3
Dunkirk, NY 14048
Phone (716) 363-1515
529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797
3898 Vineyard Dr
Ste 1
Dunkirk, NY 14048
Phone (716) 363-6960
3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515
515 Swan St
Dunkirk, NY 14048
Phone (716) 366-7331
268 W Main St
Ste 2
Fredonia, NY 14063
Phone (716) 672-2000
Interoperability endpoints
- lfuller@gppc.medentdirect.com
- lfuller@landmarkhealth-direct.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Dunkirk, NY
- NPI 1093959322
-
- Anesthesiology Physician
- Fredonia, NY
- NPI 1437406931
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Derby, NY
- NPI 1225654494
Hospital
-
- General Acute Care Hospital
- Dunkirk, NY
- NPI 1215917224
-
dba UPMC Chautauqua WCA
- Substance Use Disorder Rehabilitation Hospital Unit
- Jamestown, NY
- NPI 1568023687
-
dba UPMC Chautauqua WCA
- General Acute Care Hospital
- Jamestown, NY
- NPI 1770573222
-
- Home Health Agency
- Cheektowaga, NY
- NPI 1730268384
-
- General Acute Care Hospital
- Westfield, NY
- NPI 1942236427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571875200000",
"number": "1609045343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 SWAN STREET",
"city": "DUNKIRK",
"state": "NY",
"postal_code": "140489766",
"telephone_number": "716-366-7331",
"fax_number": "716-363-5228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 SENECA ST STE 646C",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142101351",
"telephone_number": "716-995-4450"
}
],
"practiceLocations": [
{
"address_1": "515 Swan St",
"address_purpose": "LOCATION",
"city": "Dunkirk",
"state": "NY",
"postal_code": "140482407",
"country_code": "US",
"telephone_number": "716-366-7331",
"fax_number": "716-363-5228",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FULLER",
"first_name": "LINDA",
"middle_name": "MARIE",
"credential": "ANP, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-27",
"last_updated": "2019-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "369389-1",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "306314",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS NURSING LICENSE",
"identifier": "369389-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.