Paula B. Fuller, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APRN588412 Issued in FL

Practice address

611 Zeagler Dr
Palatka, FL 32177-3810

Phone

(386) 326-8080

NPI assigned

Feb 22, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Anesthesia Care Team, Inc.

  • Anesthesiology Physician
  • Ocala, FL
  • NPI 1457425571
  NPD (past)
• Christian L Koppel MD PA

  • Anesthesiology Physician
  • Jacksonville, FL
  • NPI 1457623514
  NPD (past)
• Eye Surgery Center of Saint Augustine Inc

  • Ambulatory Surgical Clinic/Center
  • St Augustine, FL
  • NPI 1750383295
  NPD (past)
• Jacksonville Beaches Anesthesia Associates, Inc.

  • Anesthesiology Physician
  • Jacksonville Beach, FL
  • NPI 1174781744

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Mark B Phillips M.D., P.a.

  • Anesthesiology Physician
  • Jacksonville, FL
  • NPI 1003997271
  NPD (past)
• North Florida Anesthesia Consultants, Inc.

  • Anesthesiology Physician
  • St Augustine, FL
  • NPI 1114892361
  NPD (past)
• Northwest Florida Anesthesia Consultants Inc

  • Certified Registered Nurse Anesthetist
  • Sunrise, FL
  • NPI 1497702229

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Professional Gastroenterology & Nutrition Associates, P.a.

  • Gastroenterology Physician
  • Leesburg, FL
  • NPI 1215974498
  NPD (past)
• Alta Anesthesia Associates of Georgia, PC

  • Anesthesiology Physician
  • Brunswick, GA
  • NPI 1275504771

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Ips of St Mary'S LLC

  • Anesthesiology Physician
  • Kingsland, GA
  • NPI 1033342456

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1679548796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 20TH ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320841703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ZEAGLER DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773810",
            "telephone_number": "386-326-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "PAULA",
        "middle_name": "B.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN588412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302530600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florida Therapeutic Massage
• Mia Flowers, PHARMD, RPH
• Alyssa Lynne Fraser, MS CCC SLP
• John Miles Frisvold, DPT
• Marquise M Fuce
• Functional Living Therapy Services PLLC
• Kevin Andre Funk, M.D.
• Latonya N Fuqua
• Dianne Swanson Gaines, PT
• John L Gaines Jr., MD

• All providers in Palatka, FL
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.