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GREG L. FULLMER AGNP-C
NPI 1215801865
Nurse Practitioner - Gerontology in Spokane, WA

Active since October 06, 2025
4815 N ASSEMBLY ST, SPOKANE, WA 99205(509) 434-7000 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Greg L. Fullmer Agnp-c NPPES

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

GREG L. FULLMER AGNP-C (NPI 1215801865) is an individual gerontology provider in Spokane, Washington, licensed in Idaho (5271681) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1215801865
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameGREG L. FULLMERCredential: AGNP-C
Location Address4815 N ASSEMBLY STSpokane, WA 99205-6185
Mailing Address803 E Elm AveCoeur D Alene, ID 83814-4438 · (619) 456-1337
Phone(509) 434-7000
Sole ProprietorYes
Enumeration DateOctober 6, 2025
NPPES CertifiedSeptember 10, 2025
✔ NPI 1215801865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in ID · 5271681
4815 N ASSEMBLY ST, Spokane, WA 99205
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

JEFFREY LEWIS BAILEY RN
Clinical Nurse Specialist (Psychiatric/Mental Health)
4815 N ASSEMBLY ST
SPOKANE, WA 99205
Spokane County (509) 434-7000
DR. TIM K. VAWTER PHARM.D.
Pharmacist (Pharmacotherapy)
4815 N ASSEMBLY ST
SPOKANE, WA 99205
Spokane County (509) 434-7970
MRS. JULIE LISS RN
Case Manager/Care Coordinator
4815 N ASSEMBLY ST
SPOKANE, WA 99205
Spokane County (509) 434-7608
KAMI HAMMOND PT
Physical Medicine & Rehabilitation
4815 N ASSEMBLY ST
SPOKANE, WA 99205
Spokane County (509) 879-7637
MR. FREDRICK FRANCIS EPLEY JR. CDPI
Counselor (Addiction (Substance Use Disorder))
4815 N ASSEMBLY ST
SPOKANE, WA 99205
Spokane County (509) 434-7014
DR. DEBORAH ELIZABETH KESSEL TALLUNGAN PHD
Psychologist (Clinical)
4815 N ASSEMBLY ST
SPOKANE, WA 99205
Spokane County (509) 873-4166
NIKOLUS REMINGTON RICHEY PA-C
Physician Assistant (Medical)
4815 N ASSEMBLY ST
SPOKANE, WA 99205
Spokane County (509) 434-7000
MR. CASEY EDWARD GRABER
Rehabilitation Practitioner
4815 N ASSEMBLY ST
SPOKANE, WA 99205
Spokane County (509) 901-2652

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 Greg Fullmer's NPI number?

The NPI number for Greg Fullmer is 1215801865. It was assigned to this individual provider in the NPPES registry on October 6, 2025.

Where is Greg Fullmer located?

Greg Fullmer practices at 4815 N Assembly St, Spokane, WA 99205. The listed phone number is (509) 434-7000.

What is Greg Fullmer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Greg Fullmer was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.