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Deactivated NPI 1487725636 Deactivated / Inactive NPI Female Practitioner

Ruth Maison Fullmer , NP

Nurse Practitioner • San Mateo, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ruth Fullmer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 10, 2006
NPI Deactivation Date June 21, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Ruth Fullmer, NP was a registered Nurse Practitioner practicing in San Mateo, CA. Throughout an active medical career spanning 17 years, Ruth Fullmer provided care at the practice location at 222 W 39TH AVE until profile deactivation on 2023-06-21.

Practice Location & Contact Primary Location

Practice Address

222 W 39th Ave

San Mateo, CA 944034364

Telephone 6505732222
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in San Mateo, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.7 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
36 Specialists

Practicing in San Mateo, CA (8378 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA NP8373

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. John Anderson , MD

Obstetrics & Gynecology

NPI 1013082429

Doctor of Medicine (M.D.)

Christian Sustrina , PTA

Physical Medicine & Rehabilitation

NPI 1013737568

Physical Therapist Assistant

Dr. Stanley Hui , MD

Internal Medicine - Gastroenterology

NPI 1023196888

Doctor of Medicine (M.D.)

Harvey Kaplan

Pediatrics

NPI 1033264262
NPI 1033402847

Doctor of Medicine (M.D.)

Kelsey Dattilo

Social Worker - Clinical

NPI 1043469299

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 21, 2023

Record deactivated on June 21, 2023

NPI Profile Active January 06, 2012

NPI status registered as active in NPPES database

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Updated Practice Location January 06, 2012

Registered at 222 W 39TH AVE, SAN MATEO, CA 944034364 (Tel: 6505732222)

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Updated Business Mailing Address January 06, 2012

Registered at 1670 SOUTH AMPHLETT BLVD, SUITE 300, SAN MATEO, CA 944022534 (Tel: 6505541000)

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Provider Name / Credentials Updated January 06, 2012

Recorded as RUTH FULLMER, NP

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2012

Nurse Practitioner (License #NP8373 in CA)

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Initial NPI Registration & Enumeration November 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487725636
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 10, 2006
Last Update: January 06, 2012
Deactivation Date: June 21, 2023

Mailing Address

1670 South Amphlett Blvd, Suite 300

San Mateo, CA 944022534

Phone: 6505541000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.