LORENZA FULLMER (NPI# 1669880670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669880670 |
| Entity Type | Individual |
| Full Name | LORENZA FULLMER |
| Credential | M.S., CCC-SLP |
| Practice Address |
3715 Woodking Dr Idaho Falls ID 83404-4720 |
| Mailing Address |
1212 W 100 S Blackfoot ID 83221-6035 |
| Practice Telephone | 2085292255 |
| Mailing Telephone | 2082210080 |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-09-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP 2380 | ID | Speech, Language and Hearing Service Providers |
| Street Address |
3715 WOODKING DR |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-4720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295855112 | Brent Sheldon Kennedy | Physical Therapist | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2007-04-02 |
| 1093203119 | Abby Lucile Jensen | Physical Medicine & Rehabilitation | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2018-04-24 |
| 1588173959 | Heather Michele Smith | Physical Therapy Assistant | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2017-09-28 |
| 1023531183 | Kliss Moulton | Speech-Language Pathologist | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2017-07-20 |
| 1144743329 | Rachel Maria Barnes | Speech-Language Pathologist | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2017-07-19 |
| 1578083820 | Rebecca Coombs Butikofer | Occupational Therapist | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2017-06-27 |
| 1013392802 | Heidi Maxine Boyle | Occupational Therapist | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2015-07-22 |
| 1194128314 | Susan Hunter | Physical Therapist | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2014-10-01 |
| 1295135028 | Lisa Hong | Occupational Therapist | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2014-08-29 |
| 1275932428 | Katie Fisher | Occupational Therapist | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2014-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1083111561 | Kieryae Hess | Speech-Language Pathologist | 5710 S 45th E, Idaho Falls, ID 83406-8019 | 2018-04-10 |
| 1568976934 | Peter Nieman | Speech-Language Pathologist | 2860 Channing Way Ste 100, Idaho Falls, ID 83404-7531 | 2017-11-21 |
| 1518310168 | Candice Joann Perry | Speech-Language Pathologist | 3069 Disney Dr, Idaho Falls, ID 83404-7320 | 2016-07-19 |
| 1760848113 | Melissa Helene Garner | Speech-Language Pathologist | 2960 Kevin Cir, Idaho Falls, ID 83402-6102 | 2016-01-14 |
| 1477921567 | Debra Hogg | Speech-Language Pathologist | 919 S Utah Ave, Idaho Falls, ID 83402-3322 | 2015-09-08 |
| 1912374414 | Savannah Leckington | Speech-Language Pathologist | 925 S Utah Ave, Idaho Falls, ID 83402-3322 | 2015-09-01 |
| 1194192955 | Jennifer Overton | Speech-Language Pathologist | 1300 Lowell Dr, Idaho Falls, ID 83402-5172 | 2015-08-27 |
| 1568839306 | Samantha Hamilton | Speech-Language Pathologist | 1746 Ironwood Dr, Idaho Falls, ID 83402-5552 | 2015-08-27 |
| 1912304163 | Michelle Anderson | Speech-Language Pathologist | 125 Arden Dr, Idaho Falls, ID 83404-7902 | 2014-12-02 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
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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.