What is Shane Fullerton's NPI number?

Shane Fullerton's National Provider Identifier (NPI) is 1063862852, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shane Fullerton's specialty?

Shane Fullerton is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).

Where is Shane Fullerton located?

Shane Fullerton's practice location on file with NPPES is 75-5699 Alii Dr Ste E, Kailua Kona, HI 96740-3112.

What is Shane Fullerton's phone number?

The practice phone number listed in the NPPES registry for Shane Fullerton is (443) 226-4939.

Is Shane Fullerton's NPI active?

Yes — Shane Fullerton's NPI (1063862852) is active in the NPPES registry as of the last update on 2016-06-14.

IndividualActive

Shane Fullerton

NPI 1063862852 · Counselor · Kailua Kona, HI

Shane Fullerton is a Counselor provider in Kailua Kona, HI (NPI 1063862852).

Provider details

NPI number: 1063862852
Entity type: Individual
Primary specialty: CounselorBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

CounselorPrimary101Y00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(65/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
10 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

75-5699 Alii Dr Ste E

Kailua Kona, HI 96740-3112

Phone: (443) 226-4939

Approximate (ZIP-level) locationGet directions

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Mailing address