MS. FATIMA QUEENNEL BULLOCK (NPI# 1164900502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164900502 |
| Entity Type | Individual |
| Full Name | MS. FATIMA QUEENNEL BULLOCK |
| Credential | MA, CCC-SLP |
| Practice Address |
5402 Milroy Rd Indianapolis IN 46216-2088 |
| Practice Telephone | 3178698826 |
| Mailing Telephone | 3178698826 |
| Enumeration Date | 2018-07-28 |
| Last Update Date | 2018-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 22004003A | IN | Speech, Language and Hearing Service Providers |
| Street Address |
5402 MILROY RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46216-2088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801435292 | Wickshire Fort Harrison Opco LLC | Assisted Living Facility | 8025 Doubleday Drive, Indianapolis, IN 46216 | 2020-01-02 |
| 1851875546 | Andrew David Power | Dentist | 5869 Lawton Loop East Drive, Indianapolis, IN 46216 | 2018-09-19 |
| 1366938417 | Alidde Alouidor | Social Worker | 9801 E 59th St, Indianapolis, IN 46216 | 2018-07-02 |
| 1548779663 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 9140 Harrison Park Ct, Indianapolis, IN 46216 | 2017-09-20 |
| 1184835852 | Toby A Zirkle | Family Medicine | 8205 E 56th St Ste 100, Indianapolis, IN 46216 | 2007-05-24 |
| 1922178995 | Physiotherapy Associates | Physical Therapist | 5665 North Post Rd. Suite 100, Indianapolis, IN 46216 | 2006-11-08 |
| 1871562645 | Richard Clark Perry | Internal Medicine | 8205 E 56th Street, Suite 100, Indianapolis, IN 46216 | 2006-03-15 |
| 1902420532 | Carole Christine Corder | Dietitian, Registered | 8205 E 56th St, Suite 100, Indianapolis, IN 46216 | 2020-05-29 |
| 1821301300 | Robin Girdhar | Internal Medicine | 8205 E 56th St, Ste 100, Indianapolis, IN 46216 | 2010-07-26 |
| 1306949086 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 5605 N Post Rd, Indianapolis, IN 46216-1002 | 2006-09-07 |
| Find all providers in zip 46216 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554969 | Emma Engdahl | Speech-Language Pathologist | 6825 Madison Ave Ste A, Indianapolis, IN 46227-5093 | 2020-06-29 |
| 1578186300 | Hannah Marjorie Brophy | Speech-Language Pathologist | 5701 Brill Rd, Indianapolis, IN 46227-1908 | 2020-05-27 |
| 1851910954 | Emily Delks | Speech-Language Pathologist | 6085 E 10th St, Indianapolis, IN 46219-4608 | 2020-04-09 |
| 1073158242 | Kathleen Hall Barrett | Speech-Language Pathologist | 5130 Washington Blvd, Indianapolis, IN 46205-1045 | 2019-11-12 |
| 1881248524 | Lindsay Stone | Speech-Language Pathologist | 8736 N Port Cir, Indianapolis, IN 46236-9204 | 2019-07-31 |
| 1255999322 | Jacqueline Nicole Loudermilk | Speech-Language Pathologist | 406 Canal Court South Dr Apt K, Indianapolis, IN 46202-4622 | 2019-06-03 |
| 1760956932 | Katherine Elizabeth Routen | Speech-Language Pathologist | 923 E 52nd St, Indianapolis, IN 46205-1123 | 2019-01-21 |
| 1861965360 | Jillian Quillen Renschler | Speech-Language Pathologist | 7440 Hague Rd, Indianapolis, IN 46256-1930 | 2019-01-07 |
| 1477037273 | Shannon Kathleen Murphy | Speech-Language Pathologist | 1435 N Alabama St, Indianapolis, IN 46202-2525 | 2018-09-18 |
| 1598246399 | Jessica Ruschak | Speech-Language Pathologist | 4638 Cameron Ridge Dr Apt 137, Indianapolis, IN 46240-7772 | 2018-08-28 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46216 |
Please comment or provide details below to improve the information on MS. FATIMA QUEENNEL BULLOCK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.