Trinady Rianne Fuller, CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

SA0002130

Practice address

2045 N Franklin St
Denver, CO 80205-5437

Phone

(505) 269-5313

NPI assigned

Mar 10, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Park Meadows Cosmetic Surgery, PC

  • Plastic Surgery Physician
  • Lone Tree, CO
  • NPI 1912021015
  NPD (past)

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1821459355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1652 VERBENA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802202135",
            "telephone_number": "505-269-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 N FRANKLIN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055437",
            "telephone_number": "505-269-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "TRINADY",
        "middle_name": "RIANNE",
        "credential": "CSFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": "SA0002130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Fuller, LPC
• Brian J. Fuller, M.D.
• Dorothy Diane Fuller, D.D.S.
• Jonathan Fuller, MA, LPC
• Sherry Fuller, FNP-C
• William Edward Fuller, M.D.
• Ashley Fullmer, RN, BSN
• Allison Fulton, APN-NP, PMHNP-BC
• Sadie Fulton
• Functional Performance PT Center

• Surgical Assistant in Denver, CO
• Providers in Denver, CO by specialty
• Surgical Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.