Active NPI
Dorothy May Fuller, RN
- Registered Nurse
- White River Junction, VT
National Provider Identifier
1962133421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 026.0109118
- Practice address
- 215 N Main St
White River Junction, VT 05009-0001 - Phone
- (802) 295-9363
- NPI assigned
- Jun 23, 2022
- Last updated
- Jun 23, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 026.0109118 | VT | Primary |
Addresses
Primary practice location
215 N Main St
White River Junction, VT 05009-0001
Mailing address
411 Baptist St
Graniteville, VT 05654-8096
Phone (518) 570-5261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026.0109118 | VT | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1962133421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 BAPTIST ST",
"city": "GRANITEVILLE",
"state": "VT",
"postal_code": "056548096",
"telephone_number": "518-570-5261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 N MAIN ST",
"city": "WHITE RIVER JUNCTION",
"state": "VT",
"postal_code": "050090001",
"telephone_number": "802-295-9363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLER",
"first_name": "DOROTHY",
"middle_name": "MAY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-23",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VT",
"license": "026.0109118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White River Junction, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.