Fernita Fuller

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

240 Cobb Rd
Pelzer, SC 29669-9221

Phone

(864) 346-7752

NPI assigned

Jan 17, 2024

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

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1750142832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 COBB RD",
            "city": "PELZER",
            "state": "SC",
            "postal_code": "296699221",
            "telephone_number": "864-346-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 COBB RD",
            "city": "PELZER",
            "state": "SC",
            "postal_code": "296699221",
            "telephone_number": "864-346-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "FERNITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Robertson Enloe
• Jennifer Morgan Fields, LISW-CP, LICSW
• Isabelle Aleese Fisher
• Morgan Forrest, RN, BSN
• Christopher Patrick Fuller, RPH
• Brianne Gray, COTA/L
• Linda Marie Haire, PHARMD
• Parker Alexandra Harbuck
• Katasha Laronda Harper
• Cecil Robert Hawkins, DMD

• Home Health Agency in Pelzer, SC
• Providers in Pelzer, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.