MRS. NICOLE RENEE FULLERTON (NPI# 1164763579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164763579 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE RENEE FULLERTON |
| Credential | MSW, CSW |
| Practice Address |
25 N Spruce St Colorado Springs CO 80905-1436 |
| Mailing Address |
2252 Pinyon Jay Dr Colorado Springs CO 80951-4707 |
| Practice Telephone | 7192274207 |
| Practice Fax Number | 7192274001 |
| Mailing Telephone | 5027416655 |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2014-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6986 | KY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619248127 | Nicole Fullerton | Case Manager/Care Coordinator | 1675 Morena Blvd, 100, San Diego, CA 92110-3703 | 2012-01-16 |
| Street Address |
25 N SPRUCE ST |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80905-1436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386991040 | Caroline Marie Reese Kelly | Psychologist | 25 N Spruce St, Colorado Springs, CO 80905-1436 | 2012-08-12 |
| 1801162409 | Mary Nierode | Social Worker | 25 N Spruce St, Colorado Springs, CO 80905-1436 | 2012-03-28 |
| 1558680058 | Dina Lynne Dunn | Counselor | 25 N Spruce St, Colorado Springs, CO 80905-1436 | 2010-05-24 |
| 1992022669 | Margaret Kay Russell | Social Worker | 25 N Spruce St, Va Mental Health, Colorado Springs, CO 80905-1436 | 2010-04-21 |
| 1104059195 | Benjamin Joseph Kluck | Psychologist | 25 N Spruce St, Colorado Springs, CO 80905-1436 | 2009-08-25 |
| 1164654067 | Jill I. Turner | Social Worker | 25 N Spruce St, Colorado Springs, CO 80905-1436 | 2009-08-11 |
| 1437397908 | Lynae C Kruse | Social Worker | 25 N Spruce St, Colorado Springs, CO 80905-1436 | 2009-01-22 |
| 1144467556 | Barbara Joan Schultz | Nurse Practitioner | 25 N Spruce St, Rm 210 J, Colorado Springs, CO 80905-1436 | 2009-01-08 |
| 1437395340 | Ruth Elaine Picton | Pharmacist | 25 N Spruce St, Colorado Springs, CO 80905-1436 | 2008-12-23 |
| 1285881862 | Dept of Veterans Affairs | General Acute Care Hospital | 25 N Spruce St, Colorado Springs, CO 80905-1436 | 2008-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710524137 | Julie Esther Ayaad | Nurse Practitioner | 1427 W Rio Grande, Colorado Springs, CO 80905 | 2019-12-04 |
| 1437676970 | Cara Boss | Physical Therapy Assistant | 1855 Presidential Hts, Apt 1023, Colorado Springs, CO 80905 | 2017-08-25 |
| 1720537509 | Rhianon Leigh Davis | Physical Therapy Assistant | 810 Arcturus Drive, Colorado Springs, CO 80905 | 2016-09-22 |
| 1861878639 | Melissa Bernstein-linan | Counselor | 1301 S 8th St Ste 200, Colorado Springs, CO 80905 | 2015-08-04 |
| 1376973669 | Kierstie Cameron | Counselor | 875 W. Moreno Ave, Colorado Springs, CO 80905 | 2013-11-22 |
| 1215294301 | Nancy J. Beach | Counselor | 1355 S 8th St Ste 206, Colorado Springs, CO 80905 | 2012-04-13 |
| 1699096107 | Hinds' Feet Adventures | Counselor | 1301 S. Eighth Street, Suite 115, Colorado Springs, CO 80905 | 2010-06-18 |
| 1396067310 | Pinnacle Family Medicine, Pllc | Family Medicine | 1040 S 8th Street, Suite 102, Colorado Springs, CO 80905 | 2010-02-17 |
| 1710154018 | Amy Lee Moore | Counselor | 875 W. Moreno, Colorado Springs, CO 80905 | 2008-05-15 |
| 1386786598 | Pia Hillevi Schalin | Family Medicine | 402 W Bijou, Emergicare Corporation, Colorado Springs, CO 80905 | 2007-02-13 |
| Find all providers in zip 80905 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750990453 | Carly Renee Rodriguez | Social Worker | 827 Hoosier Dr, Colorado Springs, CO 80916-2032 | 2020-07-28 |
| 1942820758 | Janyll Cintron | Social Worker | 5933 Ware St Apt D, Colorado Springs, CO 80902-2104 | 2020-04-22 |
| 1982242970 | Mission Possible | Social Worker | 1520 N Union Blvd Ste 204, Colorado Springs, CO 80909-2840 | 2019-12-20 |
| 1114580123 | Kyla Catherine Kepson | Social Worker | 2210 E La Salle St Ste 224, Colorado Springs, CO 80909-2303 | 2019-04-16 |
| 1194289363 | Hillary Shey Mooney | Social Worker | 6303 Wetzel Ave Bldg 1526, Colorado Springs, CO 80913-4188 | 2019-01-22 |
| 1013480425 | Carrie Hobaugh | Social Worker | 8775 Boxelder Dr, Colorado Springs, CO 80920-5776 | 2019-01-08 |
| 1386112910 | Karen Elizabeth Jolly | Social Worker | 3645 Jeannine Dr Ste 104, Colorado Springs, CO 80917-8007 | 2018-11-13 |
| 1790252310 | Key Therapy Services | Social Worker | 4830 Rusina Rd Ste B, Colorado Springs, CO 80907-8126 | 2018-11-01 |
| 1891274692 | Elizabeth May Kosofsky | Social Worker | 7673 Safari Cir, Colorado Springs, CO 80920-4004 | 2018-08-13 |
| 1487148805 | Chinna Okoroafor | Social Worker | 1650 Cochrane Cir # 80913, Colorado Springs, CO 80913-4613 | 2018-06-19 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80905 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.