Active NPI
Lindsay Fuller, SLP
- Speech-Language Pathologist
- North Canton, OH
National Provider Identifier
1023727674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 6057 Strip Ave NW
North Canton, OH 44720-9207 - Phone
- (330) 492-8136
- NPI assigned
- Nov 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
6057 Strip Ave NW
North Canton, OH 44720-9207
Mailing address
9121 Dolphin St SW
Bolivar, OH 44612-9634
Phone (330) 705-6575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP.08575 | Other | OH | OHIO SPEECH AND HEARING PROFESSIONALS BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1023727674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9121 DOLPHIN ST SW",
"city": "BOLIVAR",
"state": "OH",
"postal_code": "446129634",
"telephone_number": "330-705-6575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6057 STRIP AVE NW",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447209207",
"telephone_number": "330-492-8136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLER",
"first_name": "LINDSAY",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-22",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO SPEECH AND HEARING PROFESSIONALS BOARD",
"identifier": "SP.08575",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.