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NPISignal

Individual Healthcare Provider

Charlotte Michelle Fuller, APRN

NPI Record: ActiveNurse Practitioner — Family
NPI1033657580
Mandeville, Louisiana

Provider's NPPES record last updated: June 1, 2023

Overview

Entity Type
Individual Healthcare Provider
NPI
1033657580
Primary Specialty
Nurse Practitioner — Family
Practice Location
Mandeville, Louisiana
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 9:29 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Nurse Practitioner

    Family

    Physician Assistants & Advanced Practice Nursing Providers

    Primary

    Definition to come...

    Taxonomy code 363LF0000X

Provider-Reported License Information

Nurse Practitioner (Louisiana)
AP09163
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

4430 Highway 22

Mandeville, Louisiana 70471-3310

Phone: (985) 626-3470

Additional Practice Location

15790 Paul Vega MD Dr

Hammond, Louisiana 70403-1436

Phone: (985) 230-1683

Fax: (985) 230-6652

Record Information

Enumeration Date
February 4, 2017
Provider's NPPES Record Last Updated
June 1, 2023
Certification Date
June 1, 2023
NPISignal NPPES Dataset
August 2026

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Incorrect provider information

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