LAURA LYN FULLER SLP
NPI 1255773933
Speech-Language Pathologist in Phoenix, AZ
About Laura Lyn Fuller Slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAURA LYN FULLER SLP (NPI 1255773933) is an individual speech-language pathologist provider in Phoenix, Arizona, licensed in Arizona (SLP8363) and active in the NPI registry since July 2013. She maintains a secondary practice location in Chandler.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Laura Lyn Fuller Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Laura Fuller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chandler, AZ 85224
- Reassigned Medicare billing, Arizona enrollment
- 23 clinicians in this Medicare group
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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHOENIX, AZ 85015
PHOENIX, AZ 85015
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 Laura Fuller's NPI number?
The NPI number for Laura Fuller is 1255773933. It was assigned to this individual provider in the NPPES registry on July 23, 2013.
Where is Laura Fuller located?
Laura Fuller practices at 3012 N 17th Ave, Phoenix, AZ 85015. The listed phone number is (480) 824-8889.
What is Laura Fuller's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Laura Fuller enrolled in Medicare?
Yes. Laura Fuller is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Laura Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Laura Fuller reassigns Medicare benefits to Amy Grulke, PLLC (Chandler, 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 Laura 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 Laura Fuller was last updated on August 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Laura Lyn Fuller, SLP · NPI 1255773933
Speech-Language Pathologist provider in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since July 23, 2013.
## Identity
- **NPI:** 1255773933 (Entity type: Individual)
- **Enumerated:** July 23, 2013
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** SLP8363 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3012 N 17TH AVE, Phoenix, AZ 85015-6112
- **Phone:** (480) 824-8889
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Amy Grulke, PLLC (NPI 1316464795, Chandler, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 13, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1255773933) · Data from the CMS NPPES public registry.