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

Q: 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.

Q: What is K'chelle Fuller's specialty?

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

Q: When was this NPI record last updated?

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

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: July 26, 2026.

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

On this page

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

Open in Google Maps ↗

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.

MR. EUGENE JIMERSON COUNSELOR