Grace Anne Fulcher, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

115893 Issued in TX

Practice address

8100 Lomo Alto Dr Ste 100
Dallas, TX 75225-6575

Phone

(214) 351-0053

NPI assigned

Nov 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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.

• Diana Lynn Diduck, PLLC

  • Behavior Analyst
  • Dallas, TX
  • NPI 1477001790
  NPD (past)

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1316710858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 HILLSIDE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752143735",
            "telephone_number": "210-837-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 LOMO ALTO DR STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256575",
            "telephone_number": "214-351-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULCHER",
        "first_name": "GRACE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "115893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rance James Toshiji Fujiwara, MD MBA
• Anat Fuksman
• Fulbright & Associates PC
• Jody Lee Fulbright, L.P.C.
• Richard L Fulbright, PH.D.
• Jeana Elizabeth Fulenwider, PT, DPT
• Stephanie Fulgencio, LMFT
• Angela K Fulgham-Gardner, MD
• Pat Fox Fulgham, M.D.
• Dawn Maria Fulghum, LPTA

• Speech-Language Pathologist in Dallas, TX
• Providers in Dallas, 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 Nov 6, 2023; 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.