SUSAN FULLERTON (NPI# 1780184523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780184523 |
| Entity Type | Individual |
| Full Name | SUSAN FULLERTON |
| Credential | SPEECH LANGUAGE PATH |
| Practice Address |
288 Lancer Lane Martinsville VA 24112 |
| Mailing Address |
161 Holly St Eden NC 27288-7678 |
| Practice Telephone | 2766381022 |
| Mailing Telephone | 2766381022 |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2018-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 220203920 | VA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811168032 | Susan Blumhagen Fullerton | Pediatrics | 44 Old Saw Mill Rd, Trumbull, CT 06611-3355 | 2008-03-15 |
| 1396123196 | Susan Patricia Fullerton | Counselor | 2060 Centre Pointe Blvd, Saint Paul, MN 55120-1269 | 2015-05-12 |
| 1295722155 | Susan Fullerton | Nurse Practitioner | 4923 Ogletown Stanton Rd, Suite 200, Newark, DE 19713-2081 | 2005-10-05 |
| Street Address |
288 LANCER LANE |
| City | MARTINSVILLE |
| State | VA |
| Zip Code | 24112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327038 | Martinsville Transit, LLC | Taxi | 807 Barrows Mill Rd Apt E, Martinsville, VA 24112 | 2018-05-29 |
| 1699279422 | Terry Michelle Hamdy | Nurse Practitioner | 110 Commonwealth Blvd, Martinsville, VA 24112 | 2018-03-19 |
| 1164920062 | Aesthetic & Family Dental of Martinsville PC | Dentist | 5 Dudley Street, Martinsville, VA 24112 | 2018-01-25 |
| 1124537410 | Hamdy Medical Center, PC | Clinic/Center | 110 W Commonwealth Blvd, Martinsville, VA 24112 | 2017-09-29 |
| 1588180483 | Olton Swanson | Driver | 1440 Rivermount Heights, Martinsville, VA 24112 | 2017-08-22 |
| 1639610686 | Stephanie Hairston | Non-emergency Medical Transport (VAN) | 912 Brookdale St, Ste 1, Martinsville, VA 24112 | 2017-03-10 |
| 1194182790 | Jns Home Healthcare Services | In Home Supportive Care | 708 Berkshire Place, Martinsville, VA 24112 | 2016-01-27 |
| 1033506654 | Caring Hearts Counseling LLC | Community/Behavioral Health | 624 East Church, Suite B, Martinsville, VA 24112 | 2015-04-21 |
| 1073915559 | Shirley Jackson | Occupational Therapy Assistant | 170 Village Court, Martinsville, VA 24112 | 2014-09-16 |
| 1275976326 | Sheree L. Dandridge | Prosthetist | 538 S Memorial Blvd., Martinsville, VA 24112 | 2013-04-08 |
| Find all providers in zip 24112 | ||||
| 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 |
|---|---|---|---|---|
| 1326491119 | Caroline Elizabeth Bauguss | Speech-Language Pathologist | 812 E Church St, Martinsville, VA 24112-3109 | 2016-07-18 |
| 1609010586 | Julie Beth Turner | Speech-Language Pathologist | 350 Kings Grant Way, Martinsville, VA 24112 | 2009-04-23 |
| 1003029448 | Vera J Musial - Slowey | Speech-Language Pathologist | 1724 Washington Valley Road, Vjm Speech & Swallowing Therapy, Martinsville, NJ 08836 | 2007-05-08 |
| 1073633962 | Susan D Dixon | Speech-Language Pathologist | 4541 E Hacker Creek Rd, Martinsville, IN 46151-9357 | 2007-04-02 |
| 1407999873 | Cynthia Sue Addie | Speech-Language Pathologist | 7555 Goat Hollow Rd, Martinsville, IN 46151-7875 | 2007-02-15 |
| 1891334256 | Makayla Nicole Smithers | Speech-Language Pathologist | 400 Rich Acres School Rd, Martinsville, VA 24112-0006 | 2020-01-03 |
| 1316585524 | Sheridan Theresa Thagard | Speech-Language Pathologist | 255 Lancer Ln, Martinsville, VA 24112-0473 | 2019-12-18 |
| 1932745247 | Janis Jordan Richardson | Speech-Language Pathologist | 746 Indian Trl, Martinsville, VA 24112-4520 | 2019-11-21 |
| 1386201218 | Taylor Danielle Snodgrass | Speech-Language Pathologist | 710 Smith St, Martinsville, VA 24112-2531 | 2019-05-27 |
| 1659859742 | Janette Eanes Johnson | Speech-Language Pathologist | 710 Smith St, Martinsville, VA 24112-2597 | 2018-08-01 |
| Find all providers in MARTINSVILLE | ||||
| City | MARTINSVILLE |
| Zip Code | 24112 |
Please comment or provide details below to improve the information on SUSAN FULLERTON.
| 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.