Active NPI
Ashley Paige Fulton, M.S.P. CCC-SLP
- Speech-Language Pathologist
- Blythewood, SC
National Provider Identifier
1669065728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5165
- Practice address
- 755 Pebblebranch LN
Blythewood, SC 29016-7288 - Phone
- (843) 356-0543
- NPI assigned
- Feb 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5165 | SC | Primary |
Addresses
Primary practice location
755 Pebblebranch LN
Blythewood, SC 29016-7288
Mailing address
755 Pebblebranch LN
Blythewood, SC 29016-7288
Phone (843) 356-0543
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5165 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1669065728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 PEBBLEBRANCH LN",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290167288",
"telephone_number": "843-356-0543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 PEBBLEBRANCH LN",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290167288",
"telephone_number": "843-356-0543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULTON",
"first_name": "ASHLEY",
"middle_name": "PAIGE",
"credential": "M.S.P. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-18",
"last_updated": "2021-02-18",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "5165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blythewood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.