Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720423536 Individual Practitioner Male Practitioner

Jacob Dean Fuller , LPN

Licensed Practical Nurse • Springfield, OR

Professional Overview & Biography Verified Profile Summary

Jacob Fuller, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Springfield, OR. Practice services are available at 3333 RIVERBEND DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3333 Riverbend Dr

Springfield, OR 974778800

Telephone 8773507430
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Springfield, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
64 Specialists

Practicing in Springfield, OR (741 Statewide)

Telehealth Adoption Rate
0.0% 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

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OR 201230678LPN

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Licensed Practical Nurse

NUCC Taxonomy Code: 164W00000X

State License WV 28704

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Barbara Vogel , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023031259

Certified Registered Nurse Anesthetist

Dr. Albert Cho , DO

Anesthesiology

NPI 1023234515

Doctor of Osteopathic Medicine (D.O.)

NPI 1023506219

Doctor of Medicine (M.D.)

Dr. Kevin Allan , MD

Emergency Medicine

NPI 1023549466

Doctor of Medicine (M.D.)

Sarah Van De Valk , OT

Occupational Therapist

NPI 1023987443

Occupational Therapist

Kelly Casey , RNC-MNN, BSN

Student in an Organized Health Care Education/Training Program

NPI 1033035688

RNCMNN, Bachelor of Science in Nursing

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 07, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 07, 2013

Registered at 3333 RIVERBEND DR, SPRINGFIELD, OR 974778800 (Tel: 8773507430)

📍
Updated Business Mailing Address May 07, 2013

Registered at 585 36TH ST, SPRINGFIELD, OR 974785789 (Tel: 5415135518)

👤
Provider Name / Credentials Updated May 07, 2013

Recorded as JACOB FULLER, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2013

Licensed Practical Nurse (License #201230678LPN in OR)

🟢
Initial NPI Registration & Enumeration May 07, 2013

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: 1720423536
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2013
Last Update: May 07, 2013
Sole Proprietor: Yes

Mailing Address

585 36th St

Springfield, OR 974785789

Phone: 5415135518

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.