NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jordan Fuller, D.O.

Internal Medicine Physician in Treasure Island, FL · enumerated 2016.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679922678

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)
Name Jordan Fuller
Credential D.O.
Sex Male
Practice address 61 Dolphin Dr, Treasure Island, FL, 33706
Phone (727) 853-1701
Enumeration date Jun 9, 2016
Last updated in NPPES Apr 24, 2024

Taxonomy & licenses

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License OS15231 (FL) Primary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Jordan Fuller?
The National Provider Identifier (NPI) for Jordan Fuller is 1679922678, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jordan Fuller practice?
The practice location on file with NPPES is in Treasure Island, FL. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-24.