JODIE L FULLERTON
NPI 1679704613
Specialist in Yakima, WA

Active since August 06, 2009
208 N 3RD AVE, YAKIMA, WA 98902(509) 965-5750(509) 965-8257 Get Directions Write a Review

NPPES record last updated: August 6, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jodie L Fullerton NPPES

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

JODIE L FULLERTON (NPI 1679704613) is an individual specialist in Yakima, Washington, licensed in Washington (MA00016698) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1679704613
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJODIE L FULLERTON
Location Address208 N 3RD AVEYakima, WA 98902-2632
Mailing Address208 N 3rd AveYakima, WA 98902-2632 · (509) 965-5750 · Fax (509) 965-8257
Fax(509) 965-8257
Sole ProprietorYes
Enumeration DateAugust 6, 2009
NPI 1679704613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in WA · MA00016698
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
208 N 3RD AVE, Yakima, WA 98902

Accepted Insurance

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
208 N 3RD AVE
YAKIMA, WA 98902
Massage Therapist
208 N 3RD AVE
YAKIMA, WA 98902
Nurse Practitioner (Family)
208 N 3RD AVE
YAKIMA, WA 98902
Clinic/Center
208 N 3RD AVE
YAKIMA, WA 98902
Chiropractor
208 N 3RD AVE
YAKIMA, WA 98902
Massage Therapist
208 N 3RD AVE
YAKIMA, WA 98902
Massage Therapist
208 N 3RD AVE
YAKIMA, WA 98902
Specialist
208 N 3RD AVE
YAKIMA, WA 98902

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 Jodie Fullerton's NPI number?

The NPI number for Jodie Fullerton is 1679704613. It was assigned to this individual provider in the NPPES registry on August 6, 2009.

Where is Jodie Fullerton located?

Jodie Fullerton practices at 208 N 3rd Ave, Yakima, WA 98902. The listed phone number is (509) 965-5750.

What is Jodie Fullerton's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Jodie Fullerton accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jodie Fullerton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jodie Fullerton was last updated on August 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.