Nancy Ann Fuller

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP. 6915 Issued in OH

Practice address

1414 Bowman Rd
Springfield, OH 45502-8826

Phone

(937) 546-5032

NPI assigned

Nov 18, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1962808964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3574 HEATHERWOOD AVE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455035307",
            "telephone_number": "937-546-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 BOWMAN RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455028826",
            "telephone_number": "937-546-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "NANCY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP. 6915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Frizell
• Courtney Fry, COTA/L
• Mark Fry
• Brandi Fuller, LPN
• Kimberly Fuller
• Esther Fultz
• Melissa Fultz
• Elizabeth Marie Funderburg, BA, QMHS
• Jerra Marie Furay, DDS
• Richard Ward Furay, M.D.

• Speech-Language Pathologist in Springfield, OH
• Providers in Springfield, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.