Fullcircle Nevada, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

FULLCIRCLE NEVADA, LLC

Practice address

6170 W Lake Mead Blvd
Ste. 294
Las Vegas, NV 89108-2661

Phone

(702) 303-2503

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

David Ross, Adm, MBR

Title

Administrator, Member

Phone

(702) 303-2503

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982659983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6170 W LAKE MEAD BLVD",
            "address_2": "STE. 294",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891082661",
            "telephone_number": "702-303-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6170 W LAKE MEAD BLVD",
            "address_2": "STE. 294",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891082661",
            "telephone_number": "702-303-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLCIRCLE NEVADA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSS, ADM, MBR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR, MEMBER",
        "authorized_official_telephone_number": "702-303-2503"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Adela Fulkerson
• Michael Fulks, LAT, ATC
• Full Circle Care PLLC
• Full Circle Integrated Health Solutions LLC
• Rebecca Lee Fullard
• Alexcia Fuller
• Allison Fuller
• Andrew Mackenzie Fuller, CF-SLP
• Anna Fuller
• Brittany Fuller

• Psychologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.