KAREN FULLERTON APRN BC NPI 1306822176

NPI Information

NPI: 1306822176
Provider Name: KAREN FULLERTON, APRN, BC
Classification: Registered Nurse - 163WP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

PECOS Registration: Yes

Address:
593 EDDY ST
MAIN BLDG., ROOM 038
PROVIDENCE, RI
ZIP 02903
Phone: (401) 444-4779
Get Directions

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
1	163W00000X	Registered Nurse		RN22606	RHODE ISLAND	No
2	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	PNS00004	RHODE ISLAND	Yes

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
1	S51592	MEDICARE UPIN
2	007008183	MEDICARE 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: 11/14/2023

NPI Synchronization or Removal

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