Katherine L Fuller, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1895 Issued in TN

Practice address

144 Concord Rd
Knoxville, TN 37934-2901

Phone

(865) 777-1727

Fax

(865) 966-0942

NPI assigned

Aug 27, 2018

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

Medicare fee-for-service enrollment

Enrolled in TN, SC2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katherine.fuller.p1@direct.entap.nextgenshare.com

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.

• Charleston ENT Associates, LLC

  • Otolaryngology Physician
  • Charleston, SC
  • NPI 1588607303

  SC

  Medicare reassignment Care Compare group NPD
• Otolaryngology Head and Neck Surgery Associates

  • Specialist
  • Knoxville, TN
  • NPI 1184704207

  TN

  Medicare reassignment NPD
• Charleston ENT Associates, LLC

  • Ambulatory Surgical Clinic/Center
  • Charleston, SC
  • NPI 1124026422
  Care Compare group NPD
• Merit Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Knoxville, TN
  • NPI 1366624967
  NPD

Specialty

Qualified Audiologist

Education

University of Tennessee, HSC, College of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Charleston ENT Associates, LLC 77 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.33 of 100Reported as group

Quality

86.06

Promoting interoperability

100

Improvement activities

40

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1669953634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 CONCORD RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342901",
            "telephone_number": "865-777-1727",
            "fax_number": "765-966-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 CONCORD RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342901",
            "telephone_number": "865-777-1727",
            "fax_number": "865-966-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "KATHERINE",
        "middle_name": "L",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "1895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Stephen Fulks, MD
• Full Bloom
• Fuller Rehabilitation and Consulting Services Inc.
• Anthony Blair Fuller, LPC, MHSP
• Jason Fuller, DPT
• Lisa Ann Fuller, FNP-BC
• Lisa Ellen Fuller, MS, RD, LDN
• Teia Squires Fuller, PT, DPT
• D. Shane Fulmer, O.T.
• Paula Katherine Fulton, NNP

• All providers in Knoxville, TN
• Audiologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.