Michael Fulks, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0506322 Issued in NV

Practice address

6510 Hinson St
Las Vegas, NV 89118-4413

Phone

(702) 499-7237

NPI assigned

Aug 13, 2014

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": "1407888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1467861658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7340 RED CINDER ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891313320",
            "telephone_number": "702-499-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 HINSON ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891184413",
            "telephone_number": "702-499-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULKS",
        "first_name": "MICHAEL",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NV",
            "license": "0506322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Fulco III, LCSW
• Sarah A Fulco, DC
• Gian Fule, CRNA
• Fulgencio Antuna, MD., PLLC
• Nicole Adela Fulkerson
• Full Circle Care PLLC
• Full Circle Integrated Health Solutions LLC
• Rebecca Lee Fullard
• Fullcircle Nevada, LLC
• Alexcia Fuller

• Athletic Trainer in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Athletic Trainer in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.