Active NPI
Erin Elizabeth Fuller
- Speech-Language Pathologist
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30004777
- Practice address
- 430 Shady Ave Apt 3
Pittsburgh, PA 15206-4561 - Phone
- (317) 607-4238
- NPI assigned
- Jul 17, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL018690 | PA | |
| Speech-Language Pathologist | 235Z00000X | 2202012078 | VA | |
| Speech-Language Pathologist | 235Z00000X | 30004777 | NC | Primary |
| Speech-Language Pathologist | 235Z00000X | 6660-154 | WI |
Addresses
Primary practice location
430 Shady Ave Apt 3
Pittsburgh, PA 15206-4561
Mailing address
430 Shady Ave Apt 3
Pittsburgh, PA 15206-4561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, VA, PA, NC
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 S Juniper St
Philadelphia, PA 19107-2703
Phone (561) 462-3933
10432 Balls Ford Rd
Suite 300
Manassas, VA 20109-2517
Phone (561) 462-3933
342 N Water St
Suite 600
Milwaukee, WI 53202-5715
Phone (561) 462-3933
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30004777 | NC | MD | Speech-Language Pathologist |
| SL018690 | PA | MD | Speech-Language Pathologist |
| 2202012078 | VA | MD | Speech-Language Pathologist |
| 6660-154 | WI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Expressable Therapy PC | Speech-Language Pathologist | Current | Accepting new patients |
| Expressable Speech-Language Pathology, P.C. | Speech-Language Pathologist | Current | Accepting new patients |
Locations
633 W 5th St
Ofc 2876B
Los Angeles, CA 90071
2530 Meridian Pkwy
Ste 300
Durham, NC 27713
Phone (919) 443-1708
615 Saint George Square Ct
Ste 300
Winston Salem, NC 27103
Phone (336) 793-8125
100 S Juniper St
Fl 3
Philadelphia, PA 19107
Phone (267) 999-9534
7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503
10432 Balls Ford Rd
Ste 300
Manassas, VA 20109
Phone (571) 229-8708
342 N Water St
Ste 600
Milwaukee, WI 53202
Phone (414) 296-6189
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Austin, TX
- NPI 1649875857
NC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769472000000",
"number": "1093607707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 SHADY AVE APT 3",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152064561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 SHADY AVE APT 3",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152064561",
"telephone_number": "317-607-4238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLER",
"first_name": "ERIN",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-17",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL018690",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202012078",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "30004777",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "6660-154",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.