Organization Active NPI

Fullest Expressions Speech Therapy, PLLC

  • Speech-Language Pathologist
  • Davidson, NC
National Provider Identifier
1609583657
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
FULLEST EXPRESSIONS SPEECH THERAPY, PLLC
Practice address
10650 Sapphire TRL
Davidson, NC 28036-7644
Phone
(616) 550-4450
NPI assigned
Oct 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Authorized official

Name
Mrs. Cynthia M Hollenbach, MA, CCC-SLPNPI 1790062974
Title
Speech Language Pathologist
Phone
(616) 550-4450

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

10650 Sapphire TRL
Davidson, NC 28036-7644

Mailing address

10650 Sapphire TRL
Davidson, NC 28036-7644
Phone (616) 550-4450

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL cindy@fullestexpressions.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1609583657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 SAPPHIRE TRL",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367644",
            "telephone_number": "616-550-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10650 SAPPHIRE TRL",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367644",
            "telephone_number": "616-550-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLEST EXPRESSIONS SPEECH THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "HOLLENBACH",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "616-550-4450",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cindy@fullestexpressions.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "10650 Sapphire Trl",
            "city": "Davidson",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280367644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davidson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.