Anne Fuller, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA14563 Issued in TX

Practice address

3501 N Macarthur Blvd Ste 500
Irving, TX 75062-3675

Phone

(972) 256-3700

Fax

(866) 630-6348

NPI assigned

Mar 16, 2021

Sex

Female

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

• Anne Carpenter Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8654/brand/1/csg/1/fhir/r4

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.

• Macarthur Medical Center, PLLC

  • Obstetrics & Gynecology Physician
  • Euless, TX
  • NPI 1326320367
  Medicare reassignment
• Macarthur Medical Center, PLLC

  • Obstetrics & Gynecology Physician
  • Irving, TX
  • NPI 1497982268

  Physician Assistant

  NPD
• Women'S Integrated Healthcare, P.a.

  • Obstetrics & Gynecology Physician
  • Fort Worth, TX
  • NPI 1588868343
  NPD

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1639754294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 612526",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752612526",
            "telephone_number": "972-256-3700",
            "fax_number": "866-630-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N MACARTHUR BLVD STE 500",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623675",
            "telephone_number": "972-256-3700",
            "fax_number": "866-630-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "ANNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "CARPENTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Giselle Fuentes
• Takanobu Fujita, D.D.S.
• Jay Harold Fulce, R.PH.
• Chelsea Fulfer, M.S., CF-SLP
• Alan Fullbright, BCBA
• Diana Funk, PT, DPT
• Donna Funk
• Allan J Furman, M.D.
• Michelle Lynn Furr
• Fusion Advantage Mi, PLLC

• Physician Assistant in Irving, TX
• Providers in Irving, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.