HEIDI FULLER
NPI 1730713173
Point of Service in Louisville, KY

Active since February 25, 2020
12121 SHELBYVILLE RD STE 101, LOUISVILLE, KY 40243(502) 341-1599 Get Directions Write a Review

NPPES record last updated: February 25, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heidi Fuller NPPES

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

HEIDI FULLER (NPI 1730713173) is an individual point of service provider in Louisville, Kentucky and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1730713173
Entity TypeIndividualFemale
Primary Taxonomy305S00000X
Provider Legal NameHEIDI FULLER
Location Address12121 SHELBYVILLE RD STE 101Louisville, KY 40243-1094
Mailing Address12121 Shelbyville Rd Ste 101Louisville, KY 40243-1094 · (502) 341-1599
Sole ProprietorYes
Enumeration DateFebruary 25, 2020
NPI 1730713173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

12121 SHELBYVILLE RD STE 101, Louisville, KY 40243

Other Identifiers 2

Other000965136KY · Cranial Prosthesis
Other965136Medical Services

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 Heidi Fuller's NPI number?

The NPI number for Heidi Fuller is 1730713173. It was assigned to this individual provider in the NPPES registry on February 25, 2020.

Where is Heidi Fuller located?

Heidi Fuller practices at 12121 Shelbyville Rd Ste 101, Louisville, KY 40243. The listed phone number is (502) 341-1599.

What is Heidi Fuller's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Heidi Fuller was last updated on February 25, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.