Organization Active NPI

Sprout and Bloom Therapy Services PC

  • Speech-Language Pathologist
  • Raleigh, NC
National Provider Identifier
1265312201
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPROUT AND BLOOM THERAPY SERVICES PC
Practice address
8801 Fast Park Dr Ste 301
Raleigh, NC 27617-4853
Phone
(213) 400-4447
Fax
(213) 631-4140
NPI assigned
Sep 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Shanee Fulton, M.S. CCC/SLP, M.S.NPI 1073856654
Title
Owner
Phone
(213) 400-4447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

8801 Fast Park Dr Ste 301
Raleigh, NC 27617-4853

Mailing address

8801 Fast Park Dr Ste 301
Raleigh, NC 27617-4853
Phone (213) 400-4447

Other names 1

  • Sprout & Bloom Therapy Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1265312201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 FAST PARK DR STE 301",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276174853",
            "telephone_number": "213-400-4447",
            "fax_number": "213-631-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 FAST PARK DR STE 301",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276174853",
            "telephone_number": "213-400-4447",
            "fax_number": "213-631-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUT AND BLOOM THERAPY SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-02",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "FULTON",
        "authorized_official_first_name": "SHANEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-400-4447",
        "authorized_official_credential": "M.S. CCC/SLP, M.S."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sprout & Bloom Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.