Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Colleen D. Fullerton, NP

Individual provider Family Nurse Practitioner · NPI 1528139730

Colleen D. Fullerton, NP is a Nurse Practitioner in Providence, Rhode Island. Qualified in 2002, 24 years ago. Practices with University Gastroenterology, LLC, a 99-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
24
Licensed in
RI
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

33 Staniford St
Providence, RI 02905-3105
Phone: (401) 421-8800
Fax: (401) 273-6510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 37214 (RI)

Record details

NPI number1528139730
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 10, 2006
Last updated in NPPESJuly 9, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice University Gastroenterology, Llc — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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