Tatania Fuller, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

543672 Issued in NY

Practice address

186 Biltmore Ave
Elmont, NY 11003-1513

Phone

(516) 303-6030

NPI assigned

Jan 31, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1649718479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 BILTMORE AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110031513",
            "telephone_number": "516-303-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 BILTMORE AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110031513",
            "telephone_number": "516-303-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "TATANIA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "543672",
            "primary": true
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "543672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martine Tianne Francois, RBT
• Michelle-Ann Fraser, LPN
• Paula Frazier, RN
• Junie Frazile, LPN
• Cheyenne Fuller
• Fusionx Group Inc
• Future Physical Therapy Visions, P.C.
• Altide Gabriel
• John J Gallace
• Marie Reine Gallant, RN

• Registered Nurse in Elmont, NY
• Providers in Elmont, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.