QYNNCIE ALEXANDRIA FULLER BA
NPI 1164021416
Student in an Organized Health Care Education/Training Program in Riverside, CA

Active since October 19, 2020
2085 RUSTIN AVE, RIVERSIDE, CA 92507(951) 955-7334 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Qynncie Alexandria Fuller Ba NPPES

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

QYNNCIE ALEXANDRIA FULLER BA (NPI 1164021416) is an individual student in an organized health care education/training program in Riverside, California and active in the NPI registry since October 2020. She maintains a secondary practice location in Costa Mesa.

NPPES Registry Identity

NPI1164021416
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameQYNNCIE ALEXANDRIA FULLERCredential: BA
Location Address2085 RUSTIN AVERiverside, CA 92507-2498
Mailing Address1280 Paseo Azul WayCorona, CA 92879-8502 · (951) 840-7958
Sole ProprietorNo
Enumeration DateOctober 19, 2020
Last NPPES UpdateMay 1, 2025
NPPES CertifiedMay 1, 2025
NPI 1164021416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
2085 RUSTIN AVE, Riverside, CA 92507

Secondary Practice Location 1

Location 13186 Airway Ave Ste ACosta Mesa, CA 92626-4650 · Phone (714) 881-0427 · Fax (714) 327-0673

Other Providers at the Same Location NPPES 20

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

Social Worker
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Peer Specialist
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Registered Nurse
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Student in an Organized Health Care Education/Training Program
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Social Worker (Clinical)
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Counselor (Mental Health)
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Marriage & Family Therapist
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Marriage & Family Therapist
2085 RUSTIN AVE
RIVERSIDE, CA 92507

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Qynncie Fuller's NPI number?

The NPI number for Qynncie Fuller is 1164021416. It was assigned to this individual provider in the NPPES registry on October 19, 2020.

Where is Qynncie Fuller located?

Qynncie Fuller practices at 2085 Rustin Ave, Riverside, CA 92507. The listed phone number is (951) 955-7334.

What is Qynncie Fuller's specialty?

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

When was this NPI record last updated?

The NPPES record for Qynncie Fuller was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.