Heather Dawn Fuller-Jones, M.S. CFY-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

104911 Issued in TX

Practice address

1300 Wallace Blvd
Amarillo, TX 79106-1745

Phone

(806) 359-7681

NPI assigned

Jun 17, 2009

Sex

Female

Sole proprietor

No

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 Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Region 16 Education Service Center

  • Developmental Disabilities Clinic/Center
  • Amarillo, TX
  • NPI 1770661050
  NPD (past)

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245196800000",
    "number": "1073740072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5235 ECHO DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791084717",
            "telephone_number": "806-674-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061745",
            "telephone_number": "806-359-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER-JONES",
        "first_name": "HEATHER",
        "middle_name": "DAWN",
        "credential": "M.S. CFY-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104911",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "80206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Full Smile Dental, PLLC
• Full Smile Dental, PLLC (Full Smile Dental)
• Full Smile Endodontics, PLLC
• Full Smile Periodontics, PLLC
• Full Smile Prosthodontics PLLC
• Hailey Rene Fuller, PTA
• Stephen Fuller, DOCTOR OF CHIROPRACT
• Alton Wayne Funderburk Jr., CRNA
• Terry Lee Furgiuele, MD
• G&S Home Care LLC

• Speech-Language Pathologist in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.