Rolando Fulgencio, ND

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

NT60570489 Issued in WA

Practice address

3480 S 152ND St
Tukwila, WA 98188-2142

Phone

(206) 244-5216

NPI assigned

Sep 15, 2015

Last updated

Sep 15, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1366810889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 S 152ND ST",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882142",
            "telephone_number": "206-244-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 S 152ND ST",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882142",
            "telephone_number": "206-244-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULGENCIO",
        "first_name": "ROLANDO",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "NT60570489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Frolova
• Dakota Fry
• Masha Naomi Fry, MSW, LICSW
• Lenora Fuaga
• Melissa Ann Fukunaga, NURSE PRACTITIONER
• Catherine Eleanor Fuller
• Tyrone S Fuller
• Naiya Funk
• Ana Fusu, DDS
• Joniclair Gabucan

• Family Medicine Physician in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.