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MR. AUNDRA LAMAR FULLER
NPI 1790046654
Case Manager/Care Coordinator in Tulsa, OK

Active since June 06, 2012
10922 E. 39TH ST., TULSA, OK 74146(918) 282-6850 Get Directions Write a Review

NPPES record last updated: June 6, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Aundra Lamar Fuller NPPES

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

MR. AUNDRA LAMAR FULLER (NPI 1790046654) is an individual case manager/care coordinator provider in Tulsa, Oklahoma, licensed in Oklahoma (99999999999999999999) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1790046654
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameMR. AUNDRA LAMAR FULLER
Location Address10922 E. 39TH ST.Tulsa, OK 74146
Mailing Address10922 E 39th StTulsa, OK 74146-2703 · (918) 282-6850
Phone(918) 282-6850
Sole ProprietorYes
Enumeration DateJune 6, 2012
✔ NPI 1790046654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
License✔ Licensed in OK · 99999999999999999999
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedBehavior AnalystTaxonomy 103K00000X · License 99999999999999999999 (OK)
10922 E. 39TH ST., Tulsa, OK 74146
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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 Aundra Fuller's NPI number?

The NPI number for Aundra Fuller is 1790046654. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Where is Aundra Fuller located?

Aundra Fuller practices at 10922 E. 39th St., Tulsa, OK 74146. The listed phone number is (918) 282-6850.

What is Aundra Fuller's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Aundra Fuller was last updated on June 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.