Mrs. Kristy Leann Fullard
Nurse Practitioner (Family)

Address: 2012 Kendall Ave, Modesto, CA 95355-3280
Phone: 2095815359

Mrs. Kristy Leann Fullard (NPI# 1528604543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1528604543
Entity Type Individual
Full Name Mrs. Kristy Leann Fullard
Credential NP
Gender Female
Practice Address 2012 Kendall Ave
CA 95355-3280
Practice Telephone 2095815359
Mailing Address Po Box 4995
CA 95352-4995
Mailing Telephone 2095815359
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2019-11-25
Last Update Date 2020-01-16

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers F12190864 CA

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164981726 Amy Janelle Petersen Nurse Practitioner 1101 Sylvan Ave Ste B10, Modesto, CA 95350-1679 2019-03-13
1831694769 Loretta Myers-weber Nurse Practitioner 1510 Florida Ave Ste A, Modesto, CA 95350 2018-03-23
1699288993 Advance Nursing Practice Medical Group Inc Nurse Practitioner 1409 Lecourbe Ct, Modesto, CA 95356-8905 2017-11-08
1154830842 Maria Christina Romasanta Quintana Nurse Practitioner 2416 La Playa Ln, Modesto, CA 95355-7952 2017-09-25
1538690607 Myla Urbano Nurse Practitioner 2800 Floyd Ave Apt 27, Modesto, CA 95355-9464 2017-03-21
1467808758 Prakriti Prashanta Janz-navarro Nurse Practitioner 1524 Mchenry Ave Ste 135, Modesto, CA 95350-4569 2016-05-05
1750755476 Caremore Health Plan Nurse Practitioner 1234 Mchenry Avenue, Modesto, CA 95350 2015-11-18
1033511910 Tanuja Bhattessa Nurse Practitioner 1930 River Tree Ln, Modesto, CA 95351-4541 2014-09-22
1386044345 Christina Zamora Nurse Practitioner 2700 Shoemake Ave, Modesto, CA 95358-9544 2014-08-27
1346668563 Norma Jean Bertrand Nurse Practitioner 3430 Tully Rd Ste 20123, Modesto, CA 95350-0840 2014-04-03
Find all providers in MODESTO

Office Location

Street Address 2012 KENDALL AVE
State CA
Zip Code 95355-3280

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184255911 Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation Clinic/Center 3401 Oakdale Road, Suite 505, Modesto, CA 95355 2020-01-30
1871079152 Jill H Fusia Dietitian, Registered 1404 Cordero Court, Modesto, CA 95355 2018-07-19
1043727514 Emily Lauren Schaefer Behavior Analyst 3425 Coffee Rd Ste C2, Modesto, CA 95355 2018-01-05
1376083691 Hari Gnanasekeram, PC Technician, Cardiology 1303 Mable Avenu, Modesto, CA 95355 2017-03-06
1598139891 Encompass Health Rehabilitation Hospital of Modesto, LLC Rehabilitation Hospital 1303 Mable Avenue, Modesto, CA 95355 2015-11-24
1013387844 Diana Faith Kigenyi Social Worker 1225 Oakdale Road, Modesto, CA 95355 2015-10-06
1437530672 Tzu Yi Wei Acupuncturist 2209 Coffee Road, Suite A, Modesto, CA 95355 2015-06-12
1366839755 Hillock Family Dental Inc. Dentist 1908 Coffee Rd. Bldg. 4, Modesto, CA 95355 2015-04-23
1306230248 Daniel James Davenport Physical Therapist 1917 Coffee Rd., Modesto, CA 95355 2015-03-27
1154729853 Jennifer Camacho Physical Therapist 2200 Coffee Rd., Greenbriar Apartment No. 10, Modesto, CA 95355 2014-12-11
Find all providers in zip 95355


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Zip Code 95355

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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