Registry record
- NPI
- 1558811711
- Profession
- Physician Assistant (PA)
- Specialty
- Physician Assistant (363A00000X)
- Practice address
- 1411 Main St
Dallas, TX 75202 - Phone
- 2147494657
- In the registry since
- October 11, 2016
- Last NPPES update
- July 27, 2021
- Sole proprietor
- No
- License
- PA10919 (TX)
At this location
One other provider in our data lists 1411 Main St, Dallas as a practice address:
- Johnelle Suzanne Elizabeth Cooper-Lassiter, FNP
Family Nurse Practitioner · NPI 1194370668
In context
The NPI number of Andrea Fuller is 1558811711. They are a Physician Assistant in Dallas, Texas.
Andrea Fuller is one of 1,215 Physician Assistants in Dallas and one of 11,405 across Texas in our data. Dallas ranks #2 among Texas cities in our dataset, with 4,918 NP and PA providers.
The NPI has been in the federal registry for 9 years, since October 11, 2016.
Frequently asked questions
What is NPI 1558811711?
NPI 1558811711 is the 10-digit National Provider Identifier assigned to Andrea Fuller, a Physician Assistant practicing in Dallas, Texas. The record has been in the NPPES registry since October 11, 2016.
How do I verify this provider?
Cross-check NPI 1558811711 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license PA10919 with the TX licensing board. You can also run the number through our free NPI validator to confirm its checksum.
Is this information current?
This profile reflects the June 2026 NPPES data file. NPPES lists the record's last update as July 27, 2021. We refresh our data each month when CMS publishes a new file.
Data: NPPES public registry, June 2026 file. Not medical advice. Verify independently before care or credentialing decisions. Errors in the source record can be corrected at nppes.cms.hhs.gov; see our corrections page.