MRS. AMY BETH FULLER RD
NPI 1700073673
Dietitian, Registered in Ridgecrest, CA

Q: What is Amy Fuller's NPI number?

The NPI number for Amy Fuller is 1700073673. It was assigned to this individual provider in the NPPES registry on September 25, 2007. The provider is also known as Amy Beth Carroll.

Q: What is Amy Fuller's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Fuller was last updated on September 25, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 25, 2007

1081 N CHINA LAKE BLVD, RIDGECREST, CA 93555(760) 499-3781(760) 446-3551 Get Directions Write a Review

NPPES record last updated: September 25, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Amy Beth Fuller Rd NPPES

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

MRS. AMY BETH FULLER RD (NPI 1700073673) is an individual dietitian, registered in Ridgecrest, California, licensed in (710033) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1700073673

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMRS. AMY BETH FULLERCredential: RD

Location Address1081 N CHINA LAKE BLVDRidgecrest, CA 93555-3130

Mailing Address1081 N China Lake BlvdRidgecrest, CA 93555-3130 · (760) 499-3781 · Fax (760) 446-3551

Phone(760) 499-3781

Fax(760) 446-3551

Sole ProprietorNo

Enumeration DateSeptember 25, 2007

✔ NPI 1700073673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed · 710033

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

1081 N CHINA LAKE BLVD, Ridgecrest, CA 93555

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Other Names 1

Former Name (1)Amy Beth Carroll

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.

MS. NANCY ELIZABETH MATTHEWS RN

Registered Nurse (Maternal Newborn)

1081 N CHINA LAKE BLVD, RIDGECREST REGIONAL HOSPITAL
RIDGECREST, CA 93555

Kern County (760) 446-3551

MR. TRAVIS WILLIAM JOHNSON C.R.N.A.

Nurse Anesthetist, Certified Registered