Rachel Ann Fuller, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024171662 Issued in VA

Practice address

1532 Slate Creek Rd
Suite 101
Grundy, VA 24614-6975

Phone

(276) 935-2080

Fax

(276) 935-2082

NPI assigned

Apr 22, 2014

Last updated

Aug 17, 2016By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Buchanan Health Center Inc

  • Family Medicine Physician
  • Grundy, VA
  • NPI 1154485779
  Medicare reassignment NPD
• Physicians Care of Virginia PC

  • Nephrology Physician
  • Roanoke, VA
  • NPI 1770688145
  Medicare reassignment NPD
• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441

  VA

  Medicare reassignment NPD
• Buchanan Health Diabetes Center

  • Specialist
  • Grundy, VA
  • NPI 1376809384
  NPD
• St. Charles Health Council, Inc

  dba Stone Mountain Health Services Pharmacy

  • Pharmacy
  • Ewing, VA
  • NPI 1275594095
  NPD (past)

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1922428697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 BOONE RIDGE DR",
            "address_2": "STE 201",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376158000",
            "telephone_number": "276-935-2080",
            "fax_number": "276-935-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 SLATE CREEK RD",
            "address_2": "SUITE 101",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "246146975",
            "telephone_number": "276-935-2080",
            "fax_number": "276-935-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian L Fields, PHARM D
• Amanda Fletcher
• Susan Buskill Fogg, LPC
• Samantha Renee Fraley
• Friendship Home Health Inc (Friendship Home Medical Equipment Inc)
• David Allen Gettman, R.PH., M.B.A.,PH.D.
• Haley Reed Gibson
• Janice Goff
• Maragret L Goss, DO
• Aleshia Grizzle, FNP

• Family Nurse Practitioner in Grundy, VA
• Providers in Grundy, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.

Verify at the official NPI Registry.