Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Destiny Rose Fuller

Individual provider Case Manager/Care Coordinator · NPI 1639012172

Destiny Rose Fuller is a Case Manager/Care Coordinator in Kirkland, Washington. Licensed in Washington. Registered with an NPI since 2026.

Licensed in
WA
In the registry since
2026

Practice location Address checks out

11410 NE 122nd Way Ste 100
Kirkland, WA 98034-6927
Phone: (425) 650-4005
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (WA)

Record details

NPI number1639012172
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 10, 2026
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026
Mailing address11410 Ne 122nd Way Ste 100, Kirkland, WA 98034-6927

Other providers in Kirkland