Nicole Marie Pulley, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

002024644 Issued in CO

Practice address

8890 Washington St
Thornton, CO 80229-4535

Phone

(720) 929-1655

NPI assigned

Sep 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nicole Marie Lewis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: nicole.pulley.p4@direct.clinicafamilyhealth.nextgenshare.com

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1598284481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 W CENTURY DR APT 212",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271640",
            "telephone_number": "573-380-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8890 WASHINGTON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294535",
            "telephone_number": "720-929-1655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12889 Quebec St",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "806029623",
            "country_code": "US",
            "telephone_number": "720-726-6830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULLEY",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "002024644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL HYGIENE LICENSE NUMBER",
            "identifier": "002024644",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "LEWIS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Propst
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• Jean M. Pruitt, PT
• John E Puchalski, DDS
• Elizabeth Pugh
• Shaunda K. Purdy-Feiteira
• Rita Quadrani-Gold, B.A.
• Robert James Quertermus, R.PH.
• Carol Darlene Quezada, RN
• Noah Quezada, REGISTERED DIETITIAN

• Dental Hygienist in Thornton, CO
• Providers in Thornton, CO by specialty
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.