Cheryl Marie Fuller, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

093003455RN Issued in OR

Practice address

13455 SE 97TH Ave
Clackamas, OR 97015-8662

Phone

(503) 737-5786

Fax

(503) 652-4452

NPI assigned

Jan 24, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Clackamas Education Service District

  • Local Education Agency (LEA)
  • Clackamas, OR
  • NPI 1558176388
  NPD
• Clackamas Education Service District

  • Local Education Agency (LEA)
  • Clackamas, OR
  • NPI 1558424432
  NPD

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1801608906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13455 SE 97TH AVE",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970158662",
            "telephone_number": "503-737-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13455 SE 97TH AVE",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970158662",
            "telephone_number": "503-737-5786",
            "fax_number": "503-652-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "CHERYL",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "093003455RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel C Frost, MD
• Anndee Frostad, RT
• Avital Frumin Rosenfeld
• Gena Fuaga, LCSW, LICSW
• Megan Fuerst
• Nancy Fulton
• Victoria Fusco, MA
• William Fusco
• G. David Rheaume
• Beth Rachel Gabbard, O.D.

• Registered Nurse in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.