Lauren Ashley Fullen, M.S. CCC-SLP, MBA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202006003 Issued in VA

Practice address

103 North St
Bristol, VA 24201-3201

Phone

(276) 642-7900

NPI assigned

Feb 6, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1003230475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 NORTH ST",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013201",
            "telephone_number": "276-642-7900",
            "fax_number": "276-642-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 NORTH ST",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013201",
            "telephone_number": "276-642-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLEN",
        "first_name": "LAUREN",
        "middle_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-06",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "4084",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Shirlrae Franklin, FNP
• Hayden M Frechette, OD
• Free Will Baptist Family Ministries, Inc.
• Frontier Health
• Brandi Fuentes, PHARMD
• Nathan Fullen
• Whitney Illene Fullen, FNP-BC
• Function Better Therapy Services
• Terry Owens Garrison, RPH
• Tina C Gentry, LPN

• Speech-Language Pathologist in Bristol, VA
• Providers in Bristol, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.