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K'CHELLE MARI FULLER SUD
NPI 1770200511
Day Training/Habilitation Specialist in San Francisco, CA

Active since October 24, 2022
1249 SCOTT ST, SAN FRANCISCO, CA 94115(415) 922-9104 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 4, 2025, Jun 12, 2025, Feb 3, 2025 and 2 more (5 updates tracked since 2022).

About K'chelle Mari Fuller Sud NPPES

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

K'CHELLE MARI FULLER SUD (NPI 1770200511) is an individual day training/habilitation specialist in San Francisco, California and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1770200511
Entity TypeIndividualFemale
Primary Taxonomy373H00000X
Provider Legal NameK'CHELLE MARI FULLERCredential: SUD
Location Address1249 SCOTT STSan Francisco, CA 94115-4008
Mailing Address170 9th StSan Francisco, CA 94103-2603 · (415) 255-6544
Phone(415) 922-9104
Sole ProprietorYes
Enumeration DateOctober 24, 2022
Last NPPES UpdateDecember 4, 20255 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1770200511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 13722 (CA)
Also ListedCommunity Health WorkerTaxonomy 172V00000X
1249 SCOTT ST, San Francisco, CA 94115
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Other Providers at the Same Location NPPES 16

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

MARK CHRISTOPHER RICE
Day Training/Habilitation Specialist
1249 SCOTT ST
SAN FRANCISCO, CA 94115
San Francisco County (415) 922-9104
TOBORRI WRIGHT
Counselor (Addiction (Substance Use Disorder))
1249 SCOTT ST
SAN FRANCISCO, CA 94115
San Francisco County (415) 922-9104
THERESA JOHNSON
Counselor (Addiction (Substance Use Disorder))
1249 SCOTT ST
SAN FRANCISCO, CA 94115
San Francisco County (415) 922-9104
MR. EUGENE JIMERSON COUNSELOR
Counselor (Addiction (Substance Use Disorder))
1249 SCOTT ST
SAN FRANCISCO, CA 94115
San Francisco County (415) 922-9104
MR. JAMES RAY SWAIN RASI
Day Training/Habilitation Specialist
1249 SCOTT ST
SAN FRANCISCO, CA 94115
San Francisco County (415) 922-9104
LYNETTE DUDLEY
Counselor (Addiction (Substance Use Disorder))
1249 SCOTT ST
SAN FRANCISCO, CA 94115
San Francisco County (415) 922-9104
MR. PAUL EBNION-DURAND NGUYEN
Counselor (Addiction (Substance Use Disorder))
1249 SCOTT ST
SAN FRANCISCO, CA 94115
San Francisco County (415) 922-9104
STACEY BRYANT
Day Training/Habilitation Specialist
1249 SCOTT ST
SAN FRANCISCO, CA 94115
San Francisco County (415) 922-9104

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 K'chelle Fuller's NPI number?

The NPI number for K'chelle Fuller is 1770200511. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Where is K'chelle Fuller located?

K'chelle Fuller practices at 1249 Scott St, San Francisco, CA 94115. The listed phone number is (415) 922-9104.

What is K'chelle Fuller's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for K'chelle Fuller was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.