SHELBY LOUISE FULTZ (NPI# 1730624925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730624925 |
| Entity Type | Individual |
| Full Name | SHELBY LOUISE FULTZ |
| Practice Address |
748 W Vincent Dr Athens GA 30607-6547 |
| Mailing Address |
4879 Tarry Glen Dr Suwanee GA 30024-7565 |
| Practice Telephone | 7063892954 |
| Mailing Telephone | 7706013262 |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2019-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP009856 | GA | Speech, Language and Hearing Service Providers |
| Street Address |
748 W VINCENT DR |
| City | ATHENS |
| State | GA |
| Zip Code | 30607-6547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972850055 | Junaid Nasir | Internal Medicine | 5105 Jefferson Rd Ste B, Athens, GA 30607 | 2012-08-08 |
| 1942588918 | Gustavo Figueiredo Marcondes Westin | Internal Medicine | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2011-07-25 |
| 1124164421 | Martin John Simmons | Dentist | 3380 Old Jefferson Road, Athens, GA 30607 | 2007-01-30 |
| 1518063338 | The Center for Plastic & Reconstructive Surgery, P.C. | Clinic/Center | 3320 Old Jefferson Rd., Building 100, Athens, GA 30607 | 2006-09-16 |
| 1730173352 | Mohan N Iyer | Ophthalmology | 2705 Jefferson Rd., Athens, GA 30607 | 2005-09-09 |
| 1669473245 | Angela G Stiles | Internal Medicine | 3320 Old Jefferson Road, Bldg 200 Ste A, Athens, GA 30607 | 2005-08-09 |
| 1326691171 | Teresa Rosser | Nurse Practitioner | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2019-07-22 |
| 1124501184 | Anna Cauthen Mcfather | Physician Assistant | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2018-09-14 |
| 1013498849 | Mary Rougeau Browning | Physician Assistant | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2018-08-29 |
| 1073092334 | Katelyn Taylor Gillespie | Nurse Practitioner | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2018-08-08 |
| Find all providers in zip 30607 | ||||
| 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 |
|---|---|---|---|---|
| 1558974550 | Christina Lynn Corso | Speech-Language Pathologist | 42 Townsend Pl, Athens, OH 45701-1455 | 2020-08-28 |
| 1427616291 | Taylor Furline | Speech-Language Pathologist | 22423 Us Highway 72 Ste B, Athens, AL 35613-2663 | 2019-06-05 |
| 1699230565 | Kelly Bradberry Guest | Speech-Language Pathologist | 215 Hawthorne Park Ste B, Athens, GA 30606-2164 | 2019-02-05 |
| 1487125357 | Marilyn Kowalski | Speech-Language Pathologist | 700 Oglethorpe Ave Ste A2, Athens, GA 30606-2221 | 2018-12-17 |
| 1659883536 | Oconee Speech-language Services | Speech-Language Pathologist | 1175 Oglethorpe Ave Ste B, Athens, GA 30606-2129 | 2017-10-31 |
| 1194245423 | Melissa Brooke Wilson | Speech-Language Pathologist | 345 Research Drive Apartment 76, Athens, GA 30605 | 2017-06-27 |
| 1356875108 | Bridget Wright | Speech-Language Pathologist | Ohio University Grover Center W174, Athens, OH 45701 | 2017-04-19 |
| 1932562196 | Paula Richards | Speech-Language Pathologist | 100 Logmont Trce, Athens, GA 30606-0609 | 2016-04-04 |
| 1366816746 | Amy Culbertson | Speech-Language Pathologist | 181 Putters Dr, Athens, GA 30607-5405 | 2015-11-22 |
| 1528436581 | Melanie Cook | Speech-Language Pathologist | 418 E Madison Ave, Athens, TN 37303-3732 | 2015-09-08 |
| Find all providers in ATHENS | ||||
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| 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.