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MR. NORMAN FULLER SUDP
NPI 1861907008
Counselor - Addiction (Substance Use Disorder) in Tacoma, WA

Active since December 11, 2017

NPPES record last updated: December 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 21, 2025, Apr 7, 2025, Jan 28, 2022 and 4 more (7 updates tracked since 2017).

About Mr. Norman Fuller Sudp NPPES

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

MR. NORMAN FULLER SUDP (NPI 1861907008) is an individual addiction (substance use disorder) provider in Tacoma, Washington, licensed in Washington (CP60610194) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1861907008
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. NORMAN FULLERCredential: SUDP
Location Address3629 S D STTacoma, WA 98418-6813
Mailing Address3629 S D StTacoma, WA 98418-6813 · (253) 649-1500
Phone(253) 649-1500
Sole ProprietorNo
Enumeration DateDecember 11, 2017
Last NPPES UpdateDecember 21, 20257 updates tracked since enumeration
NPPES CertifiedDecember 21, 2025
✔ NPI 1861907008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CP60610194
3629 S D ST, Tacoma, WA 98418
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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.

MRS. KAREN JANE GARVIN CDP
Counselor (Addiction (Substance Use Disorder))
3629 S D ST
TACOMA, WA 98418
Pierce County (253) 798-6500
MRS. KIMIKO RENA JACKSON LPN
Licensed Practical Nurse
3629 S D ST
TACOMA, WA 98418
Pierce County (253) 798-4612
TACOMA-PIERCE COUNTY HEALTH DEPARTMENT
Public Health or Welfare
3629 S D ST
TACOMA, WA 98418
Pierce County (253) 798-2852
JANET E PETERSON RN
Registered Nurse (Community Health)
3629 S D ST
TACOMA, WA 98418
Pierce County (253) 255-8379
VALERIE CUBEAN ROBERTSON
Licensed Practical Nurse
3629 S D ST
TACOMA, WA 98418
Pierce County (253) 798-6576
RICHARD BUCKWALD
Nurse's Aide
3629 S D ST
TACOMA, WA 98418
Pierce County (253) 798-6576
KATHRYN M JENNINGS RN
Registered Nurse (Community Health)
3629 S D ST
TACOMA, WA 98418
Pierce County (253) 683-6856
MS. SUSAN KAY SHANNON CDP
Counselor (Addiction (Substance Use Disorder))
3629 S D ST
TACOMA, WA 98418
Pierce County (253) 798-6576

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 Norman Fuller's NPI number?

The NPI number for Norman Fuller is 1861907008. It was assigned to this individual provider in the NPPES registry on December 11, 2017.

Where is Norman Fuller located?

Norman Fuller practices at 3629 S D St, Tacoma, WA 98418. The listed phone number is (253) 649-1500.

What is Norman Fuller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Norman Fuller was last updated on December 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.