Active NPIIndividual provider

Dr. Courtney Fuller, MD

Emergency Medicine, Sports Medicine in Rutland, Vermont

NPI Number1417160755
Practice location
160 Allen St, Rutland, VT 05701-4560
Fax
802-747-3847
Last updated
October 9, 2026

Courtney Fuller is an Emergency Medicine, Sports Medicine based in Rutland, VT. Courtney Fuller practices in Rutland, VT and has the professional credentials of MD. The NPI Number for Courtney Fuller is 1417160755 and holds a License No. 042.0011369 (VT). The current practice location address for Courtney Fuller is 160 Allen St, Rutland, VT 05701-4560 and can be reached out via phone at 802-747-3602 and via fax at 802-747-3847.

Provider Profile Details

NPI Number
1417160755
Provider Name
Courtney Fuller
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
160 Allen St, Rutland, VT 05701-4560
Phone Number
802-747-3602
Fax Number
802-747-3847
Primary Taxonomy
Emergency Medicine, Sports Medicine · 207PS0010X
Sole Proprietor
No
Provider Enumeration Date
May 7, 2007
Last Update Date
October 9, 2026
Certification Date
October 9, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
160 Allen St
Rutland, VT 05701-4560
State
Vermont
Zip
05701-4560
Phone Number
802-747-3602
Fax Number
802-747-3847
Rutland, VT 05701Get directions →

Provider Business Mailing Address Details

Address
160 Allen St
Rutland, VT 05701-4560
City
Rutland
State
VT
Zip
05701-4560
Phone Number
802-747-3602
Fax Number
802-747-3847

License Information

License Number (1)
042.0011369
License State (1)
VT
Taxonomy (1)
Emergency Medicine, Sports Medicine · 207PS0010X · Primary
License Number (2)
042.0011369
License State (2)
VT
Taxonomy (2)
Emergency Medicine · 207P00000X
License Number (3)
042.0011369
License State (3)
VT
Taxonomy (3)
Orthopaedic Surgery, Sports Medicine · 207XX0005X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Courtney Fuller, MD?

The NPI number of Dr. Courtney Fuller, MD is 1417160755. It was assigned on May 7, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Courtney Fuller, MD?

Dr. Courtney Fuller, MD is registered under the primary taxonomy Emergency Medicine, Sports Medicine (code 207PS0010X), licensed in VT under license number 042.0011369.

Where does Dr. Courtney Fuller, MD practice?

The practice location is 160 Allen St, Rutland, VT 05701-4560. The office can be reached at 802-747-3602 (phone) or 802-747-3847 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417160755 directly on the NPPES registry website.

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