Melissa Kaye Fulgencio, PARAMEDICAL ARTIST

Primary specialty

SpecialistTaxonomy code 174400000X

License

1003787 Issued in TX

Practice address

6221 Colleyville Blvd Ste 100
Colleyville, TX 76034-6273

Phone

(844) 407-3733

NPI assigned

Dec 11, 2023

Last updated

Mar 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Pickture Perfect International LLC

  • Other Specialist/Technologist
  • Colleyville, TX
  • NPI 1144087172

  Specialist/Technologist, Other

  NPD Authorized official

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1437926284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 HARWOOD RD STE 3",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214189",
            "telephone_number": "844-407-3733",
            "fax_number": "407-650-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 COLLEYVILLE BLVD STE 100",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346273",
            "telephone_number": "844-407-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULGENCIO",
        "first_name": "MELISSA",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "credential": "PARAMEDICAL ARTIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "1003787",
            "primary": true
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Steven Fox, MD
• Sage Frew, LPC
• Frank Friedman
• Lauren Amy Frohlich
• Lei Fu, D.D.S
• Nathan Giles Futrell, M.A., LPC
• Justin Garrett, DC
• Nainoa Genzel
• Kaitlyn Genzer
• Jolian George

• Specialist in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.