Teran Renee Fulford, SPEECH THERAPIST

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1546 Issued in AL

Practice address

298 Jay St
Prattville, AL 36066-6062

Phone

(334) 361-6008

Fax

(334) 491-0500

NPI assigned

Apr 10, 2008

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Autauga Western Elmore Arc

  dba Autauga Western Elmore Association for Retarded Citizens

  • Developmentally Disabled Services Day Training Agency
  • Prattville, AL
  • NPI 1578730602
  NPD (past)

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1790958858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 TARA DR",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360667526",
            "telephone_number": "334-491-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 JAY ST",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360666062",
            "telephone_number": "334-361-6008",
            "fax_number": "334-491-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULFORD",
        "first_name": "TERAN",
        "middle_name": "RENEE",
        "credential": "SPEECH THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "1546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fountain City Chiropractic LLC
• Fountain City Eyecare LLC
• Fountain City Speech Therapy, LLC
• Steven Jay Frawley, RPH
• Lucius Bedford Freeman, MD
• Tyeisha Fuller, PT, DPT
• Rachiel Gamble
• Silvia E Garcia-Lavin, DPM
• Ebony Janae Gardner-Ellis
• Julie Annette Garten, LICSW

• Speech-Language Pathologist in Prattville, AL
• Providers in Prattville, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.