Fuller Life Health and Wellness
NPI 1396625570ActiveOrganization· Nurse Practitioner, Primary Care· Bowling Green, KY
Nurse Practitioner, Primary Care in Bowling Green, Kentucky, registered in NPPES in September 2025. The authorized official on file is Kristina Watt Fuller, LPCC-S, Owner.
Overview
| NPI | 1396625570 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 6, 2025 |
| Last updated in NPPES | Sep 6, 2025 |
| Certified by provider | Sep 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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