Melynda Fuller, RN MSN BSN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

95184268 Issued in CA

Practice address

108 Parkridge CT
Rocky Mount, NC 27804-8464

Phone

(215) 964-8255

NPI assigned

Dec 3, 2024

Last updated

Dec 3, 2024By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1730995978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 PARKRIDGE CT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278048464",
            "telephone_number": "215-964-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PARKRIDGE CT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278048464",
            "telephone_number": "215-964-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "MELYNDA",
        "credential": "RN MSN BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "95184268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Fritz, PHARMD
• Richard T Fritz, MD
• Frederick A Frohbose, MD
• From Our Heart Home Care
• Mel Webster Fryar, M.D.
• Tamala Fuller
• Tracy Hyde Futrell, OTR/L
• Suchita Bhalchandra Gade, MD
• Pridhvi Gadiraju, DDS
• Gam-Med PLLC

• Community Health Registered Nurse in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Community Health Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.