Aileen Fullen

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

512 Beach St
Fenton, MI 48430-3122

Phone

(810) 629-4117

NPI assigned

Jan 25, 2018

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

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1609374685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8960 ALBANY CT",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481769156",
            "telephone_number": "734-223-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 BEACH ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303122",
            "telephone_number": "810-629-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLEN",
        "first_name": "AILEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Fowler
• Nora Laurel Francis, RPH, MBA
• Alan Fredendall, DPT
• Mackenzie Freeman
• Samuel Jon Frydenlund, DDS
• Katherine Elizabeth Gallagher
• Kerri L Gallenbeck, LMT
• James S Garfield, DO
• Macey Garrido
• Jessica Gaul, D.D.S.

• Speech-Language Pathologist in Fenton, MI
• Providers in Fenton, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.