Haley Fulforth, AU.D

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AT006575 Issued in PA

Practice address

1650 Market St
Philadelphia, PA 19103-7301

Phone

(215) 514-0760

NPI assigned

Jul 13, 2018

Last updated

Jan 26, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hearing Associates, LLC

  • Assistive Technology Practitioner Audiologist
  • Voorhees, NJ
  • NPI 1700351459
  Medicare reassignment NPD
• Innovative Hearing, Inc.

  • Hearing Instrument Specialist
  • Dallas, TX
  • NPI 1194324244

  Audiologist

  NPD (past)

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1629554621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ORTIZ DR",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081101250",
            "telephone_number": "215-514-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 MARKET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191037301",
            "telephone_number": "215-514-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULFORTH",
        "first_name": "HALEY",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tomoyasu Fuji, DDS
• Anastasia Fujii, LCSW
• Kimberly Beth Fuld, D.O.
• Margaret Fulda
• Rebecca Fulds
• Alyssa Grace Fulginiti, DO
• Full Circle Care LLC
• Full Circle Nutrition Therapy LLC
• Collin Guthrie Fuller, M.D.
• David B Fuller, D.O.

• Audiologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Audiologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.