Individual provider Active NPI

Dorothy Elaine Fulmer, DPM

  • Podiatrist
  • Metairie, LA
National Provider Identifier
1346568268
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DPM.200031 Issued in LA
Practice address
2520 Harvard Ave
Suite 2B
Metairie, LA 70001-1118
Phone
(504) 454-3004
Fax
(504) 454-3075
NPI assigned
May 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DPM.200031 LA Primary

Addresses

Primary practice location

2520 Harvard Ave
Suite 2B
Metairie, LA 70001-1118

Mailing address

2520 Harvard Ave
Suite 2B
Metairie, LA 70001-1118
Phone (504) 454-3004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2062TXMDOrthotist

Practice roles

OrganizationSpecialtyStatusNew patients
Nicholas D Pappas III MD LLC PastSince Dec 3, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1346568268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 HARVARD AVE",
            "address_2": "SUITE 2B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011118",
            "telephone_number": "504-454-3004",
            "fax_number": "504-454-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 HARVARD AVE",
            "address_2": "SUITE 2B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011118",
            "telephone_number": "504-454-3004",
            "fax_number": "504-454-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULMER",
        "first_name": "DOROTHY",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "DPM.200031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.