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BENJAMIN A FULLER
NPI 1306614904
Student in an Organized Health Care Education/Training Program in Santa Fe, NM

Active since December 13, 2023
1300 LUISA ST STE 7, SANTA FE, NM 87505(505) 416-8009 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Benjamin A Fuller NPPES

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

BENJAMIN A FULLER (NPI 1306614904) is an individual student in an organized health care education/training program in Santa Fe, New Mexico and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1306614904
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBENJAMIN A FULLER
Location Address1300 LUISA ST STE 7Santa Fe, NM 87505-4177
Mailing Address1300 Luisa St Ste 7Santa Fe, NM 87505-4177 · (505) 416-8009
Phone(505) 416-8009
Sole ProprietorNo
Enumeration DateDecember 13, 2023
NPPES CertifiedDecember 13, 2023
✔ NPI 1306614904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1300 LUISA ST STE 7, Santa Fe, NM 87505
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Other Providers at the Same Location NPPES 10

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

THOMAS JAGGERS
Counselor (Mental Health)
1300 LUISA ST STE 7
SANTA FE, NM 87505
Santa Fe County (505) 416-8009
MS. MONA CHUNG MS, MA, LPCC
Counselor (Mental Health)
1300 LUISA ST STE 7
SANTA FE, NM 87505
Santa Fe County (505) 416-8009
ELLA JOY RAPPAPORT
Social Worker (Clinical)
1300 LUISA ST STE 7
SANTA FE, NM 87505
Santa Fe County (505) 416-8009
NATALIE SIMON
Student in an Organized Health Care Education/Training Program
1300 LUISA ST STE 7
SANTA FE, NM 87505
Santa Fe County (505) 416-8009
MR. ALBERT WILDEMAN
Counselor (Mental Health)
1300 LUISA ST STE 7
SANTA FE, NM 87505
Santa Fe County (773) 629-3350
ELIZABETH SLOAN-OBRIEN LMHC
Counselor (Mental Health)
1300 LUISA ST STE 7
SANTA FE, NM 87505
Santa Fe County (505) 416-8009
BROOKE JORDAN
Counselor (Mental Health)
1300 LUISA ST STE 7
SANTA FE, NM 87505
Santa Fe County (505) 216-6089
SIGOURNEY TEGAN CAMPIA
Psychologist
1300 LUISA ST STE 7
SANTA FE, NM 87505
Santa Fe County (847) 915-2891

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 Benjamin Fuller's NPI number?

The NPI number for Benjamin Fuller is 1306614904. It was assigned to this individual provider in the NPPES registry on December 13, 2023.

Where is Benjamin Fuller located?

Benjamin Fuller practices at 1300 Luisa St Ste 7, Santa Fe, NM 87505. The listed phone number is (505) 416-8009.

What is Benjamin 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 Benjamin Fuller was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.