Individual provider Active NPI

Alexander Fuller, ARNP

  • Family Nurse Practitioner
  • Greeley, CO
National Provider Identifier
1629368253
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9250470 Issued in FL
Practice address
1801 16TH St
Greeley, CO 80631-5154
Phone
(970) 350-6000
NPI assigned
Apr 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9250470 FL Primary

Addresses

Primary practice location

1801 16TH St
Greeley, CO 80631-5154

Mailing address

9905 Lakeview Dr
New Port Richey, FL 34654-3570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9250470FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Centennial Peaks, LLC Family CurrentSince Mar 26, 2014 Accepting new patients
Denver Springs Physician Group LLC CurrentSince Oct 3, 2017 Accepting new patients
Uhs of Centennial Peaks LLC Current Accepting new patients
Denver Springs Physician Group LLC CurrentSince Oct 3, 2017 Accepting new patients
Denver Springs Physician Group, LLC Past Accepting new patients

Locations

8835 American Way
Englewood, CO 80112
Phone (720) 643-4300

2255 S 88th St
Louisville, CO 80027
Phone (303) 666-2095

16830 Northgate Dr
Unit 130
Parker, CO 80134
Phone (303) 805-7246

8787 Turnpike Dr
Westminster, CO 80031
Phone (720) 214-0826

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1302912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1629368253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9905 LAKEVIEW DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346543570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315154",
            "telephone_number": "970-350-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "ALEXANDER",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-16",
        "last_updated": "2024-04-08",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9250470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.