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Laqualyn Fuller

Licensed Practical Nurse β€’ Youngstown, OH

Active NPI 1295331080 Individual Practitioner Female Practitioner
Practice location in NPPES

4111 Helena Ave
Youngstown, OH 445121206

Call 3305190964 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4111 Helena Ave

Youngstown, OH 445121206

Telephone 3305190964

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Youngstown and Ohio

205 active clinicians are listed under Licensed Practical Nurse with a practice address in Youngstown, OH (12,649 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Youngstown

0% of these 205 clinicians have the CMS telehealth indicator.

0% of these 205 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-02
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES OH LPN.174238

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Nursing Care

NUCC Taxonomy Code: 251J00000X

A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

Home Health

NUCC Taxonomy Code: 251E00000X

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Private Vehicle

NUCC Taxonomy Code: 347C00000X

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

Homemaker

NUCC Taxonomy Code: 376J00000X

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

Licensed Vocational Nurse

NUCC Taxonomy Code: 164X00000X

License # reported to NPPES OH 174238

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

Chore Provider

NUCC Taxonomy Code: 372500000X

An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress.

Meals

NUCC Taxonomy Code: 174200000X

A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

License # reported to NPPES OH RN.554497

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2026

Nursing Care

πŸ‘€
Provider Name / Credentials Updated September 16, 2024

Recorded as LAQUALYN FULLER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2024

Meals

βœ…
NPI Profile Active December 08, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 08, 2020

Registered at 4111 HELENA AVE, YOUNGSTOWN, OH 445121206 (Tel: 3305190964)

πŸ“
Business Mailing Address (Initial Record) December 08, 2020

Registered at 4111 HELENA AVE, YOUNGSTOWN, OH 445121206

πŸ‘€
Provider Name / Credentials (Initial Record) December 08, 2020

Recorded as LAQUALYN MORRIS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2020

Licensed Practical Nurse (license number reported to NPPES: OH LPN.174238)

🟒
Initial NPI Registration & Enumeration December 08, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1295331080
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2020
Last Update: June 02, 2026
Sole Proprietor: Yes

Mailing Address

4111 Helena Ave

Youngstown, OH 445121206

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.