Michell A. Fullmer, RD
NPI 1063645299ActiveIndividual· Dietitian, Registered· Wilmington, DE
Dietitian, Registered (RD) in Wilmington, Delaware, licensed in DE, with an NPI issued in September 2009.
Overview
| NPI | 1063645299 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD |
| Sole proprietor | No |
| NPI issued | Sep 4, 2009 |
| Last updated in NPPES | Sep 4, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | DN0000227 | DE |
| Dietitian, Registered, Nutrition, Pediatric | 133VN1004X | DN0000227 | DE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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