TASHA MARIE FULLER DC
NPI 1619448370
Chiropractor in Waterloo, NY

Q: What is Tasha Fuller's NPI number?

The NPI number for Tasha Fuller is 1619448370. It was assigned to this individual provider in the NPPES registry on December 6, 2018.

Q: What is Tasha Fuller's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Tasha Fuller was last updated on March 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since December 06, 2018

47 VIRGINIA ST, WATERLOO, NY 13165(315) 664-2216 Get Directions Write a Review

NPPES record last updated: March 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2020, Mar 14, 2019, Dec 6, 2018 (3 updates tracked since 2018).

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About Tasha Marie Fuller Dc NPPES

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

TASHA MARIE FULLER DC (NPI 1619448370) is an individual chiropractor in Waterloo, New York, licensed in New York (013201) and active in the NPI registry since December 2018. She maintains a secondary practice location in Waterloo.

NPPES Registry Identity

NPI1619448370

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameTASHA MARIE FULLERCredential: DC

Location Address47 VIRGINIA STWaterloo, NY 13165-1444

Mailing Address15 E Elisha StWaterloo, NY 13165-1402 · (315) 664-2216

Phone(315) 664-2216

Sole ProprietorYes

Enumeration DateDecember 6, 2018

Last NPPES UpdateMarch 18, 20203 updates tracked since enumeration

NPPES CertifiedMarch 18, 2020

✔ NPI 1619448370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in NY · 013201

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

47 VIRGINIA ST, Waterloo, NY 13165

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Secondary Practice Location 1

Location 19-27 East Main Street, Suite 100Waterloo, NY 13165 · Phone (315) 664-2216

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 Tasha Fuller's NPI number?

The NPI number for Tasha Fuller is 1619448370. It was assigned to this individual provider in the NPPES registry on December 6, 2018.

Where is Tasha Fuller located?

Tasha Fuller practices at 47 Virginia St, Waterloo, NY 13165. The listed phone number is (315) 664-2216.

What is Tasha Fuller's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Tasha Fuller was last updated on March 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.