Full 360

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

FULL 360

Practice address

1633 Keeler Ave
Beloit, WI 53511-4713

Phone

(608) 718-6304

NPI assigned

Jun 5, 2023

Organization subpart

No

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

Authorized official

Name

Porscha Nalan

Title

Co-Founder

Phone

(608) 718-6304

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1851085815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 KENWOOD AVE",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535116052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 KEELER AVE",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535114713",
            "telephone_number": "608-718-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL 360",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-04",
        "status": "A",
        "authorized_official_last_name": "NALAN",
        "authorized_official_first_name": "PORSCHA",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "608-718-6304"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lela M Frey, RN
• Lindsey Friedrich, LCSW
• Cheryl Lynn Fritsch-Jarlsberg, OTR
• Leland J From, MD
• Michelle Lea Fulk
• Katrina Nicole Gadsby, MS, OTR/L
• Stacy Lynn Gallagher, LPN
• Connie M Gardiner
• Nicole Gawlik
• Gabriela Gaziano

• Social Worker in Beloit, WI
• Providers in Beloit, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.