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SHONDELL FULLER
NPI 1417836974
Adult Companion in Fairfield, CA

Active since August 28, 2025
2261 S WATNEY WAY, FAIRFIELD, CA 94533(530) 601-0026 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shondell Fuller NPPES

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

SHONDELL FULLER (NPI 1417836974) is an individual adult companion provider in Fairfield, California and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1417836974
Entity TypeIndividualMale
Primary Taxonomy372600000X
Provider Legal NameSHONDELL FULLER
Location Address2261 S WATNEY WAYFairfield, CA 94533-6757
Mailing AddressPo Box 1011Davis, CA 95617
Phone(530) 601-0026
Sole ProprietorNo
Enumeration DateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
✔ NPI 1417836974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdult CompanionNursing Service Related Providers
Taxonomy Code372600000X
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
2261 S WATNEY WAY, Fairfield, CA 94533
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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.

THONE BOUNKIO
Adult Companion
2261 S WATNEY WAY
FAIRFIELD, CA 94533
Solano County (707) 344-9295
TIA MICHELLE SPEARMAN
Adult Companion
2261 S WATNEY WAY
FAIRFIELD, CA 94533
Solano County (707) 344-9295
IKEA TARVEN
Adult Companion
2261 S WATNEY WAY
FAIRFIELD, CA 94533
Solano County (707) 920-2831
JESSICA LYNN STILLMAN
Community Health Worker
2261 S WATNEY WAY
FAIRFIELD, CA 94533
Solano County (530) 704-8294
LOREN S CALHOUN JR.
Community Health Worker
2261 S WATNEY WAY
FAIRFIELD, CA 94533
Solano County (707) 920-2831
CAMERAN SINGLETON
Community Health Worker
2261 S WATNEY WAY
FAIRFIELD, CA 94533
Solano County (707) 920-2831
SHAKELA FRANCINAEE WILKES
Community Health Worker
2261 S WATNEY WAY
FAIRFIELD, CA 94533
Solano County (707) 920-2831
CHANTEL DARTEZ
Behavior Technician
2261 S WATNEY WAY
FAIRFIELD, CA 94533
Solano County (707) 980-4581

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 Shondell Fuller's NPI number?

The NPI number for Shondell Fuller is 1417836974. It was assigned to this individual provider in the NPPES registry on August 28, 2025.

Where is Shondell Fuller located?

Shondell Fuller practices at 2261 S Watney Way, Fairfield, CA 94533. The listed phone number is (530) 601-0026.

What is Shondell Fuller's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Shondell Fuller was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.