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FAITH FULLER FNP
NPI 1356485015
Nurse Practitioner - Family in Springfield, MO

Active since February 16, 2007
2055 S FREMONT AVE, SUITE 1000, SPRINGFIELD, MO 65804(417) 820-8099(417) 820-8093 Get Directions Write a Review

NPPES record last updated: April 19, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Faith Fuller Fnp NPPES

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

FAITH FULLER FNP (NPI 1356485015) is an individual family provider in Springfield, Missouri, licensed in Missouri (052926) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1356485015
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameFAITH FULLERCredential: FNP
Location Address2055 S FREMONT AVE, SUITE 1000Springfield, MO 65804-2206
Mailing AddressPo Box 2580Springfield, MO 65801-2580 · (417) 829-4620 · Fax (417) 829-4316
Phone(417) 820-8099
Fax(417) 820-8093
Sole ProprietorNo
Enumeration DateFebruary 16, 2007
Last NPPES UpdateApril 19, 2011
✔ NPI 1356485015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 052926
2055 S FREMONT AVE, Springfield, MO 65804
Open in Google Maps ↗

Other Identifiers 4

Medicare PIN000080676MO
Medicare UPINS59184MO
Medicaid423774801MO
Medicare PIN837303230MO

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.

DR. CHRISTOPHER FLEIGHTON ESTES M.D.
Radiology (Radiation Oncology)
2055 S FREMONT AVE
SPRINGFIELD, MO 65804
Greene County (417) 820-2468
ANGELA DEAN PRINGLE APRN FNP-C
Nurse Practitioner (Family)
2055 S FREMONT AVE
SPRINGFIELD, MO 65804
Greene County (417) 820-8099
VANESSA MCCONNELL FNP
Nurse Practitioner (Family)
2055 S FREMONT AVE, STE 200
SPRINGFIELD, MO 65804
Greene County (417) 820-3554
KELLY KOEHN MD
Internal Medicine (Hematology & Oncology)
2055 S FREMONT AVE
SPRINGFIELD, MO 65804
Greene County (417) 820-8099
JENNIFER NICHOLE MCVEY FNP
Nurse Practitioner (Family)
2055 S FREMONT AVE
SPRINGFIELD, MO 65804
Greene County (417) 820-8099
MAGGIE ANN GRAY FNP-C
Nurse Practitioner (Family)
2055 S FREMONT AVE
SPRINGFIELD, MO 65804
Greene County (417) 820-4673
MOHAN KRISHNA TUMMALA MD
Internal Medicine (Hematology & Oncology)
2055 S FREMONT AVE, SUITE 100
SPRINGFIELD, MO 65804
Greene County (417) 820-8099
JAY W CARLSON D.O.
Obstetrics & Gynecology (Gynecologic Oncology)
2055 S FREMONT AVE, STE 200
SPRINGFIELD, MO 65804
Greene County (417) 820-3554

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 Faith Fuller's NPI number?

The NPI number for Faith Fuller is 1356485015. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Where is Faith Fuller located?

Faith Fuller practices at 2055 S Fremont Ave Suite 1000, Springfield, MO 65804. The listed phone number is (417) 820-8099.

What is Faith Fuller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Faith Fuller was last updated on April 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.