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BRITTANY NICOLE FULLER ST
NPI 1083126452
Speech-Language Pathologist in Tempe, AZ

Active since October 25, 2017
1930 E SOUTHERN AVE, TEMPE, AZ 85282(480) 456-0719(480) 456-0163 Get Directions Write a Review

NPPES record last updated: May 26, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 26, 2020, Oct 25, 2017 (2 updates tracked since 2017).

About Brittany Nicole Fuller St NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRITTANY NICOLE FULLER ST (NPI 1083126452) is an individual speech-language pathologist provider in Tempe, Arizona, licensed in Arizona (TSLP10901) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1083126452
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameBRITTANY NICOLE FULLERCredential: ST
Location Address1930 E SOUTHERN AVETempe, AZ 85282-7518
Mailing Address1930 E Southern AveTempe, AZ 85282-7518 · (480) 299-5857
Phone(480) 456-0719
Fax(480) 456-0163
Sole ProprietorYes
Enumeration DateOctober 25, 2017
Last NPPES UpdateMay 26, 20202 updates tracked since enumeration
NPPES CertifiedMay 26, 2020
✔ NPI 1083126452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in AZ · TSLP10901
Definition
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.
1930 E SOUTHERN AVE, Tempe, AZ 85282
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brittany Nicole Fuller St is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Brittany Fuller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Solace Pediatric Healthcare Therapy Services Az, Inc.
3.4 mi
Physical Therapist
60 E RIO SALADO PKWY STE 900
Tempe, AZ 85281
  • Reassigned Medicare billing, Arizona enrollment
  • 63 clinicians in this Medicare group
NPI 1669533105 (480) 456-0719

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA FOSTER CFY-SLP
Speech-Language Pathologist
1930 E SOUTHERN AVE
TEMPE, AZ 85282
Maricopa County (480) 456-0719
ARIANNA LACROIX ST
Speech-Language Pathologist
1930 E SOUTHERN AVE
TEMPE, AZ 85282
Maricopa County (480) 456-0719
CYNTHIA MARIE NELSON PT
Physical Therapist
1930 E SOUTHERN AVE
TEMPE, AZ 85282
Maricopa County (480) 456-0719
ALISON FREDRICKS
Speech-Language Pathologist
1930 E SOUTHERN AVE
TEMPE, AZ 85282
Maricopa County (480) 456-0719
MICHAEL LEE MCKOWN P.T.
Physical Therapist
1930 E SOUTHERN AVE
TEMPE, AZ 85282
Maricopa County (480) 456-0719
JULIE C ROBINSON ST
Speech-Language Pathologist
1930 E SOUTHERN AVE
TEMPE, AZ 85282
Maricopa County (480) 456-0719
MARISSA MILLER
Speech-Language Pathologist
1930 E SOUTHERN AVE
TEMPE, AZ 85282
Maricopa County (480) 456-0719
STEPHEN M STATION PT
Physical Therapist
1930 E SOUTHERN AVE
TEMPE, AZ 85282
Maricopa County (480) 456-0719

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brittany Fuller's NPI number?

The NPI number for Brittany Fuller is 1083126452. It was assigned to this individual provider in the NPPES registry on October 25, 2017.

Where is Brittany Fuller located?

Brittany Fuller practices at 1930 E Southern Ave, Tempe, AZ 85282. The listed phone number is (480) 456-0719.

What is Brittany Fuller's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Brittany Fuller enrolled in Medicare?

Yes. Brittany Fuller is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brittany Fuller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brittany Fuller reassigns Medicare benefits to Solace Pediatric Healthcare Therapy Services Az, Inc. (Tempe, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brittany Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brittany Fuller was last updated on May 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.