Tracie P Fulton, CPT

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

L4Y6J7Y6 Issued in TX

Practice address

15500 Voss Rd # 1114
Sugar Land, TX 77498-4601

Phone

(346) 432-7892

NPI assigned

Mar 10, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tracie P Thorn Former name

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": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1689375214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 E BIRCHDALE DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774896057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15500 VOSS RD # 1114",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774984601",
            "telephone_number": "346-432-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "TRACIE",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "TX",
            "license": "L4Y6J7Y6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACIE",
            "last_name": "THORN",
            "middle_name": "P",
            "credential": "CPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Nicole Fucik
• Leslie Fuentes
• Fujik Healthcare Services Inc
• Rebecca Wheat Fuller, R.D.L.D.
• Karen Peeler Fulton, M.S., CCC-SLP
• Alexandra Funchess, LCSW
• Functional Medicine & Wellness Associates PLLC
• Functional Therapy Services PLLC
• Elizabeth Walling Furler, MS, CCC-SLP
• Jane Elizabeth Fusello, RN

• Phlebotomy Technician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Phlebotomy Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.