Active NPI
Ieesha Fuller
- Home Health Agency
- Killeen, TX
National Provider Identifier
1962310110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 5913 Bridgewood Dr
Killeen, TX 76549-5076 - Phone
- (512) 436-4340
- NPI assigned
- Aug 31, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | TX | Primary |
Addresses
Primary practice location
5913 Bridgewood Dr
Killeen, TX 76549-5076
Mailing address
5913 Bridgewood Dr
Killeen, TX 76549-5076
Phone (512) 436-4340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1962310110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5913 BRIDGEWOOD DR",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765495076",
"telephone_number": "512-436-4340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5913 BRIDGEWOOD DR",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765495076",
"telephone_number": "512-436-4340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLER",
"first_name": "IEESHA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.