Nimol Fuller

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1017822 Issued in TX

Practice address

1710 E Saunders St Ste B370
Laredo, TX 78041-5449

Phone

(956) 726-4743

Fax

(956) 794-8822

NPI assigned

Oct 24, 2020

Last updated

Oct 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

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

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14146/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/EIEDBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Andres Garcia Zuniga, M.D.,PA

  dba Andres Garcia Zuniga, M.D.,PA 2

  • Internal Medicine Physician
  • Laredo, TX
  • NPI 1649594490
  Medicare reassignment NPD
• Joseph P Camero MD PA

  • Neurology Physician
  • Laredo, TX
  • NPI 1689057341
  Medicare reassignment NPD
• Andres Garcia Zuniga MD PA

  dba Zapata Primary Care

  • Internal Medicine Physician
  • Zapata, TX
  • NPI 1528860103
  NPD

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

{
    "created_epoch": "1603497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603497600000",
    "number": "1659970275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 E SAUNDERS ST STE B370",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415449",
            "telephone_number": "956-726-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 E SAUNDERS ST STE B370",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415449",
            "telephone_number": "956-726-4743",
            "fax_number": "956-794-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "NIMOL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-24",
        "last_updated": "2020-10-24",
        "certification_date": "2020-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1017822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nfuller@camero-neuro.com",
            "affiliation": "N",
            "address_1": "1710 E Saunders St Ste B370",
            "city": "Laredo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780415449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nfuller@camero-neuro.com",
            "affiliation": "N",
            "address_1": "1710 E Saunders St Ste B370",
            "city": "Laredo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780415449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Lorraine Fructuoso, ASSISTANT SLP
• Yeseidi L Fuentes Gonzalez
• Elizabeth Fuentes Torres, RN
• Carlos Alberto Fuentes, R.PH., ABOC
• Elsa G. Fuentes, R.PH.
• Funtastic Kids Therapy
• G M M Counseling & Consulting
• G. G. Medical, Inc.
• Tiffany Hope Gagnon, LVN
• Purvi Gala, OD

• Family Nurse Practitioner in Laredo, TX
• Providers in Laredo, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2020; 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.