IndividualActive
Diana Fuller,micou
NPI 1205348554 · Voluntary or Charitable Agency · Kosciusko, MS
Provider details
- NPI number
- 1205348554
- Entity type
- Individual
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
825 James H Meredith St
Kosciusko, MS 39090-3161
Phone: (662) 289-3699
Approximate (ZIP-level) locationGet directions
Mailing address
825 James H Meredith St
Kosciusko, MS 39090-3161
Registry dates
- Enumerated
- 2017-10-26
- Last updated
- 2017-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.