Celina Rae Fuller, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8045244 Issued in VT

Practice address

1974 W Shore Rd
Salisbury, VT 05769-9740

Phone

(802) 352-4727

NPI assigned

Aug 2, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Addison County Home Healthand Hospice, IncGroup PAC ID 4587983374, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Addison County Home Health& Hospice, Inc.

  • Physical Therapist
  • New Haven, VT
  • NPI 1609648146

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1184902629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1974 W SHORE RD",
            "city": "SALISBURY",
            "state": "VT",
            "postal_code": "057699740",
            "telephone_number": "802-352-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1974 W SHORE RD",
            "city": "SALISBURY",
            "state": "VT",
            "postal_code": "057699740",
            "telephone_number": "802-352-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "CELINA",
        "middle_name": "RAE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VT",
            "license": "8045244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CERTIFICATION",
            "identifier": "12149036",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Clark Corey, M .A.
• Counseling Service of Addison County, Inc
• Gavin Flanagan, MA
• Ximena Elizabeth Mejia
• Mind and Heart Counseling, PLC
• Vermont Natural Family Health
• Sarah Elizabeth Wylie, ND

• Speech-Language Pathologist in Salisbury, VT
• Providers in Salisbury, VT by specialty
• Speech-Language Pathologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.

Verify at the official NPI Registry.