1. Home
  2. Directory
  3. Washington
  4. Kirkland
  5. Case Manager Care Coordinator
  6. NPI Profile

DESTINY ROSE FULLER
NPI 1639012172
Case Manager/Care Coordinator in Kirkland, WA

Active since April 10, 2026
11410 NE 122ND WAY STE 100, KIRKLAND, WA 98034(425) 650-4005 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Destiny Rose Fuller NPPES

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

DESTINY ROSE FULLER (NPI 1639012172) is an individual case manager/care coordinator provider in Kirkland, Washington and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1639012172
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameDESTINY ROSE FULLER
Location Address11410 NE 122ND WAY STE 100Kirkland, WA 98034-6927
Mailing Address11410 Ne 122nd Way Ste 100Kirkland, WA 98034-6927 · (425) 650-4005
Phone(425) 650-4005
Sole ProprietorNo
Enumeration DateApril 10, 2026
NPPES CertifiedApril 10, 2026
✔ NPI 1639012172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
11410 NE 122ND WAY STE 100, Kirkland, WA 98034
Open in Google Maps ↗

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.

NATHALIE CLEMENT RN
Registered Nurse
11410 NE 122ND WAY STE 100
KIRKLAND, WA 98034
King County (425) 650-4005
JONATHAN KING
Counselor
11410 NE 122ND WAY STE 100
KIRKLAND, WA 98034
King County (425) 650-4005
GEORGIA MATTOX
Registered Nurse
11410 NE 122ND WAY STE 100
KIRKLAND, WA 98034
King County (425) 650-4005
MR. BRADLEY R MCCAUSLAND LMHCA
Counselor
11410 NE 122ND WAY STE 100
KIRKLAND, WA 98034
King County (425) 650-4005
JOANNA J HULL
Peer Specialist
11410 NE 122ND WAY STE 100
KIRKLAND, WA 98034
King County (425) 650-4005
REBECCA SHANLEY
Counselor
11410 NE 122ND WAY STE 100
KIRKLAND, WA 98034
King County (425) 650-4005
KATHERINE COMBS
Counselor
11410 NE 122ND WAY STE 100
KIRKLAND, WA 98034
King County (425) 650-4005
JACQUELINE PADILLA
Counselor
11410 NE 122ND WAY STE 100
KIRKLAND, WA 98034
King County (956) 376-3151

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 Destiny Fuller's NPI number?

The NPI number for Destiny Fuller is 1639012172. It was assigned to this individual provider in the NPPES registry on April 10, 2026.

Where is Destiny Fuller located?

Destiny Fuller practices at 11410 NE 122nd Way Ste 100, Kirkland, WA 98034. The listed phone number is (425) 650-4005.

What is Destiny Fuller's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Destiny Fuller was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.