Collene Fulton, ELECTROLOGIST

Primary specialty

Clinical EthicistTaxonomy code 174V00000X

License

COZ0501949 Issued in CO

Practice address

1225 Cimarron Dr
Suite 201
Lafayette, CO 80026-3812

Phone

(303) 421-1106

NPI assigned

Aug 29, 2014

Last updated

Aug 29, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1356741052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 CIMARRON DR",
            "address_2": "SUITE 201",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263812",
            "telephone_number": "303-421-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 CIMARRON DR",
            "address_2": "SUITE 201",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263812",
            "telephone_number": "303-421-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "COLLENE",
        "credential": "ELECTROLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174V00000X",
            "taxonomy_group": "",
            "desc": "Clinical Ethicist",
            "state": "CO",
            "license": "COZ0501949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Regine Froelich, RD
• Front Range Children's Therapies LLC
• Angela Kay Fryer, MD
• Andrea Torres Fujimoto, FNP-BC
• Jennifer D Fuller, L.P.C., C.A.C. II
• Karen Anne Funk, MD
• Kayla Furbish
• Nicole Gacnik, PHARMD
• Michelle Gaffaney
• Jennifer Gayle Gaide, DO

• Clinical Ethicist in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Clinical Ethicist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.