Active NPI
Valerie J Fuller, RN, FNP-C
- Family Nurse Practitioner
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP81373
- Practice address
- 22 Bramhall Street
Portland, ME 04102 - Phone
- (207) 662-4078
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R048123 | ME | |
| Family Nurse Practitioner | 363LF0000X | CNP81373 | ME | Primary |
Addresses
Primary practice location
22 Bramhall Street
Portland, ME 04102
Mailing address
8 Streamwood Lane
Falmouth, ME 04105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP81373 | ME | MD | Family Nurse Practitioner |
| R048123 | ME | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Maine Medical Center | Current | Accepting new patients | |
| Maine Medical Partners | Family | Current | Accepting new patients |
| Mainehealth | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Providence Health & Services Oregon | Past | Accepting new patients | |
| Mainehealth | Past | Accepting new patients |
Locations
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
887 Congress St
Ste 400
Portland, ME 04102
Phone (207) 774-6368
887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
887 Congress St
Ste 6B
Portland, ME 04102
584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
- vfuller31087@direct.mmc.mainehealth.org
Organizations & group practices 9
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.
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
-
- Surgery Physician
- Scarborough, ME
- NPI 1346687167
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- General Acute Care Hospital
- Portland, ME
- NPI 1760436216
-
- Clinic/Center
- Portland, ME
- NPI 1487346722
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Portland, OR
- NPI 1396818993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397692800000",
"number": "1790879682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 STREAMWOOD LANE",
"city": "FALMOUTH",
"state": "ME",
"postal_code": "04105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 BRAMHALL STREET",
"city": "PORTLAND",
"state": "ME",
"postal_code": "04102",
"telephone_number": "207-662-4078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLER",
"first_name": "VALERIE",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "RN, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2014-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "R048123",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP81373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.