Kyle Fuller Aprn LLC

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

002043 Issued in CT

Legal business name

KYLE FULLER APRN LLC

Practice address

19 S Walnut St. Ste C
Wauregan, CT 06387

Phone

(860) 207-8160

Fax

(860) 207-8170

NPI assigned

Feb 6, 2007

Last updated

Oct 22, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kyle J Fuller, APRN

Title

Owner/Sole Proprietor

Phone

(860) 207-8160

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyle J. Lepino, APRN

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Wauregan, CT
  • NPI 1679715528

  Family Health

  NPD

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1821138470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 S WALNUT ST. STE C",
            "address_2": "P. O. BOX 530",
            "city": "WAUREGAN",
            "state": "CT",
            "postal_code": "06387",
            "telephone_number": "860-207-8160",
            "fax_number": "860-207-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 S WALNUT ST. STE C",
            "city": "WAUREGAN",
            "state": "CT",
            "postal_code": "06387",
            "telephone_number": "860-207-8160",
            "fax_number": "860-207-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE FULLER APRN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "860-207-8160",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "CT",
            "license": "002043",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "CT",
            "license": "002043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Zvingilas Brown, M.S., B.C.B.A.
• Jennifer Ann Chokas, LCSW
• Amber Cote, MA, LPC
• Grimetime LLC
• Jennifer Chokas, LCSW, LLC
• Kyle J. Lepino, APRN
• Corinne Lewis, LCSW
• Wellness at the Farm, LLC
• Alesha Wells, BA

• Psychiatric/Mental Health Clinical Nurse Specialist in Wauregan, CT
• Providers in Wauregan, CT by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.