Alice Kadijatu Fullah-Sanu, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R192860 Issued in MD

Practice address

1905 E St SE
Washington, DC 20003-2593

Phone

(202) 673-9319

NPI assigned

Sep 21, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• D.C. Department of Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
  • NPI 1871634170
  NPD (past)

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1982483715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 UNIVERSITY DR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023479",
            "telephone_number": "301-673-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 E ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032593",
            "telephone_number": "202-673-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLAH-SANU",
        "first_name": "ALICE",
        "middle_name": "KADIJATU",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R192860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenya Fulford Cuthbertson
• Parker Fulghum, PA-C
• Lauren Fulginiti, P.A.
• Yvette Fulgueras, RPH
• Full Circle PT
• Gevena Fullard
• Amari Mone Fuller
• Beverly Fuller
• Chad Robert Fuller
• Christopher Fuller

• Registered Nurse in Washington, DC
• Providers in Washington, DC by specialty
• Registered Nurse in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.