Marsha Ann Fuller I, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

299221-1 Issued in NY

Practice address

867 Rowlee Rd
Fulton, NY 13069-4228

Phone

(315) 439-4397

NPI assigned

Jul 19, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1922521277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 ROWLEE RD",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130694228",
            "telephone_number": "315-439-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 ROWLEE RD",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130694228",
            "telephone_number": "315-439-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "MARSHA",
        "middle_name": "ANN",
        "name_suffix": "I",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "299221-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS",
            "identifier": "299221-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Danielle Frazer, LMFT
• Ellen Freyer, MS ED.
• Marygrace Fronk, R.N.
• Benjamin Fruce, DDS
• Frank J. Fruce, D.M.D.
• Fulton City School District
• Fulton Dental Health Assoc
• Fulton Family Medicine Practice PC
• Fulton Family Psychiatry PC
• Kathy Lyn Furbeck

• Licensed Practical Nurse in Fulton, NY
• Providers in Fulton, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.