Marina Fuller

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11018956 Issued in FL

Practice address

1328 SE 17TH St
Fort Lauderdale, FL 33316-1708

Phone

(954) 200-6001

NPI assigned

May 1, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Id&WM LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Fort Lauderdale, FL
  • NPI 1477303055
  NPD
• Instant Medical Care Center Inc

  • General Practice Physician
  • Fort Lauderdale, FL
  • NPI 1376852566
  NPD

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

{
    "created_epoch": "1651363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651363200000",
    "number": "1962147348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19830 W DIXIE HWY APT 5207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331802256",
            "telephone_number": "407-800-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 SE 17TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161708",
            "telephone_number": "954-200-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "MARINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-01",
        "last_updated": "2022-05-01",
        "certification_date": "2022-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11018956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ignacio Jose Fuertes
• Akilah Fuller, PHARMD, MS
• Alissa Fuller
• Erika Fuller
• Kelly Christina Fuller, DO
• Tameka A. Fuller, P.T.
• Janine Q Furdella, PHD
• Alexander David Furer, OD
• Margaret Maria Furman, MD
• Felice D. Fusca, L.C.S.W.

• Family Nurse Practitioner in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.