LAUREN FULLER
NPI 1144119157
Student in an Organized Health Care Education/Training Program in Surprise, AZ

Q: What is Lauren Fuller's NPI number?

The NPI number for Lauren Fuller is 1144119157. It was assigned to this individual provider in the NPPES registry on July 2, 2025.

Q: What is Lauren Fuller's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Lauren Fuller was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 02, 2025PECOS Enrolled

14725 W MOUNTAIN VIEW BLVD, SURPRISE, AZ 85374(623) 243-9077 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lauren Fuller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAUREN FULLER (NPI 1144119157) is an individual student in an organized health care education/training program in Surprise, Arizona and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1144119157

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameLAUREN FULLER

Location Address14725 W MOUNTAIN VIEW BLVDSurprise, AZ 85374-2704

Mailing Address3010 W 7th St Apt 302Little Rock, AR 72205-6031 · (501) 766-1355

Phone(623) 243-9077

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 2, 2025

NPPES CertifiedJuly 2, 2025

✔ NPI 1144119157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedPhysician AssistantTaxonomy 363A00000X

14725 W MOUNTAIN VIEW BLVD, Surprise, AZ 85374

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lauren Fuller is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375037781

PECOS Enrollment IDI20251212002323

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REGENCY AMBULATORY SURGERY CENTER ONE, LLC

Clinic/Center (Ambulatory Surgical)