Rashara Nichole Fuller, PH.D.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

37PC00710500 Issued in NJ

Practice address

50 Neptune Blvd
692
Neptune, NJ 07753-0775

Phone

(908) 202-1467

NPI assigned

Aug 21, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rasharafuller@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Counselor

  NPD

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1710310107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 NEPTUNE BLVD",
            "address_2": "692",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077533610",
            "telephone_number": "908-202-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NEPTUNE BLVD",
            "address_2": "692",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077530775",
            "telephone_number": "908-202-1467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Iris Dr",
            "address_purpose": "LOCATION",
            "city": "Neptune City",
            "state": "NJ",
            "postal_code": "077533610",
            "country_code": "US",
            "telephone_number": "908-202-1467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULLER",
        "first_name": "RASHARA",
        "middle_name": "NICHOLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2024-03-27",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37PC00710500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Frank, MD
• Haley Frati, PA
• Taylor Jordana Frederick, APN
• Fresenius Medical Care Jersey Shore, LLC
• Logan Ashley Fugh
• Fred Daniel Fumia, MD
• Jose Fune, MD
• Ioulia Olegovna Furman, DO
• Michelle Furrer, NP
• Tenishia Gaines

• Counselor in Neptune, NJ
• Providers in Neptune, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.