Active NPI
Noah Fulton, L.AC
- Specialist
- Madison, WI
National Provider Identifier
1982113346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 934
- Practice address
- 8202 Excelsior Dr
Madison, WI 53717-1906 - Phone
- (608) 831-1766
- NPI assigned
- Sep 28, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 934 | WI | Primary |
Addresses
Primary practice location
8202 Excelsior Dr
Madison, WI 53717-1906
Mailing address
222 Vine St
Spooner, WI 54801-1456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506556800000",
"number": "1982113346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 VINE ST",
"city": "SPOONER",
"state": "WI",
"postal_code": "548011456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8202 EXCELSIOR DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537171906",
"telephone_number": "608-831-1766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULTON",
"first_name": "NOAH",
"credential": "L.AC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-28",
"last_updated": "2017-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WI",
"license": "934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.