Individual provider Active NPI

Renee Fuller, R.N.

  • Registered Nurse
  • Kayenta, AZ
National Provider Identifier
1992981542
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN098458 Issued in AZ
Practice address
Highway 160, Mile Post 394.3
Kayenta, AZ 86033
Phone
(928) 697-4000
Fax
(928) 697-4018
NPI assigned
Jan 14, 2008
Last updated
May 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN098458 AZ Primary

Addresses

Primary practice location

Highway 160, Mile Post 394.3
Kayenta, AZ 86033

Mailing address

Highway 160 and Mile Post 394.3
Kayenta Alternative Rural Hospital
Kayenta, AZ 86033
Phone (928) 697-4000

Other practice location 1

US Hwy 160 & Navajo Route 25
Four Corners Regional Health Center
Teec Nos Pos, AZ 86514
Phone (928) 656-5165

Other names 1

  • Renee Begay Former name

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

LicenseStateTypeSpecialty
RN098458AZMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1992981542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HIGHWAY 160 AND MILE POST 394.3",
            "address_2": "KAYENTA ALTERNATIVE RURAL HOSPITAL",
            "city": "KAYENTA",
            "state": "AZ",
            "postal_code": "86033",
            "telephone_number": "928-697-4000",
            "fax_number": "928-697-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 160, MILE POST 394.3",
            "city": "KAYENTA",
            "state": "AZ",
            "postal_code": "86033",
            "telephone_number": "928-697-4000",
            "fax_number": "928-697-4018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "US Hwy 160 & Navajo Route 25",
            "address_2": "Four Corners Regional Health Center",
            "address_purpose": "LOCATION",
            "city": "Teec Nos Pos",
            "state": "AZ",
            "postal_code": "86514",
            "country_code": "US",
            "telephone_number": "928-656-5165",
            "fax_number": "928-656-5164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULLER",
        "first_name": "RENEE",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2024-05-02",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN098458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "BEGAY",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kayenta, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.