KAREN FULLERTON APRN BC NPI 1306822176

NPI Information

  • NPI: 1306822176
  • Provider Name: KAREN FULLERTON, APRN, BC
  • Classification: Registered Nurse - 163WP0809X
  • Specialization: Psychiatric/Mental Health, Adult
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 593 EDDY ST
    MAIN BLDG., ROOM 038
    PROVIDENCE, RI
    ZIP 02903
  • Phone: (401) 444-4779

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NPI Details

Karen Fullerton, APRN, BC is a psychiatric/mental health and adult registered nurse in Providence, RI. Karen Fullerton, APRN, BC NPI is 1306822176. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

593 EDDY ST
MAIN BLDG., ROOM 038
PROVIDENCE, RI
ZIP 02903-923
Phone: (401) 444-4779
Fax: (401) 444-7464

The NPI 1306822176 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/22/2005 and was last updated on 1/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseRN22606RHODE ISLANDNo
2163WP0809XRegistered NursePsychiatric/Mental Health, AdultPNS00004RHODE ISLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1S51592MEDICARE UPIN
2007008183MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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