Rachel Cathleen Fullington, D.O

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

005098 Issued in AZ

Practice address

7383 E Tanque Verde Rd
Tucson, AZ 85715-3475

Phone

(520) 318-3434

Fax

(520) 318-3435

NPI assigned

Mar 22, 2007

Last updated

Sep 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Rachel Cathleen Kelly Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Hummingbird Healthcare LLC

  dba Agape South

  • Community Based Hospice Care Agency
  • Green Valley, AZ
  • NPI 1356022636

  Contracted Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arizona Inpatient Medicine Associates LLC

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1083647754
  Medicare reassignment NPD
• Pinnacle Healthcare, LLC

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1568793974
  Medicare reassignment NPD
• Painted Sky Healthcare, Inc.

  dba Agape Hospice & Palliative Care

  • Community Based Hospice Care Agency
  • Tucson, AZ
  • NPI 1548821838

  Family Medicine

  NPD
• Rehab Solutions, LLC

  dba Triad Medical Group

  • Geriatric Medicine (Internal Medicine) Physician
  • Tucson, AZ
  • NPI 1679593131
  NPD
• Northwest Allied Physicians LLC

  • General Practice Physician
  • Tucson, AZ
  • NPI 1003833179

  Hospitalist

  NPD (past)
• Northwest Allied Physicians, LLC

  • Durable Medical Equipment & Medical Supplies
  • Oro Valley, AZ
  • NPI 1821302910
  NPD (past)
• Seminars for Healthcare Education, Inc

  • Nursing Care Agency
  • Tucson, AZ
  • NPI 1326280926
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1902922875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857333130",
            "telephone_number": "520-722-3777",
            "fax_number": "520-296-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7383 E TANQUE VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153475",
            "telephone_number": "520-318-3434",
            "fax_number": "520-318-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLINGTON",
        "first_name": "RACHEL",
        "middle_name": "CATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "94-06468",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "005098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154037",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "KELLY",
            "middle_name": "CATHLEEN",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Fuller-Fougerousse
• Amelia E Fuller, LMT
• Heather Lynn Fuller, RPH
• Sidney J. Fuller, CCP
• Tamera Fuller, MC, LPC
• Donna M. Fulton, M.D.
• James Paul Fulton, CRNA
• Sara Fun, DO
• Functional & Nutritional Medicine, P.C.
• Rebecca Fung, M.D.

• Family Medicine Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.