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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANGEL M FULLER SUDP-T
NPI 1659099042
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since August 22, 2022
11000 LAKE CITY WAY NE, SEATTLE, WA 98125(206) 901-2000(206) 901-2010 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 28, 2026, Apr 6, 2026, Aug 22, 2022 (3 updates tracked since 2022).

About Angel M Fuller Sudp-t NPPES

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

ANGEL M FULLER SUDP-T (NPI 1659099042) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1659099042
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANGEL M FULLERCredential: SUDP-T
Location Address11000 LAKE CITY WAY NESeattle, WA 98125-6748
Mailing Address6400 Southcenter BlvdTukwila, WA 98188-2547 · (206) 901-2000 · Fax (206) 901-2010
Phone(206) 901-2000
Fax(206) 901-2010
Sole ProprietorNo
Enumeration DateAugust 22, 2022
Last NPPES UpdateAugust 28, 20263 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
✔ NPI 1659099042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedCounselorTaxonomy 101Y00000X · License 61040159 (WA)
11000 LAKE CITY WAY NE, Seattle, WA 98125
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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.

MARK DANIELS
Counselor
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
King County (253) 528-3632
THONGSAVEUI DAMNEUN CG 60719927
Counselor (Mental Health)
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
King County (206) 547-5800
LEON MARKEY
Counselor
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
King County (206) 901-2000
ZOE N KENDALL
Counselor
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
King County (206) 461-3614
SARA MARCKX RUSSELL
Counselor
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
King County (206) 901-2000
EMILY GAROFALO
Counselor
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
King County (206) 901-2000
BIRIDIANA GUADALUPE GARCIA
Counselor
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
King County (206) 545-2329
AMANDA M ROSS
Social Worker (Clinical)
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
King County (206) 461-3614

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 Angel Fuller's NPI number?

The NPI number for Angel Fuller is 1659099042. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Where is Angel Fuller located?

Angel Fuller practices at 11000 Lake City Way NE, Seattle, WA 98125. The listed phone number is (206) 901-2000.

What is Angel 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 Angel Fuller was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.