ANDREW MACKENZIE FULLER CF-SLP
NPI 1295303196
Speech-Language Pathologist in Las Vegas, NV

Active since June 16, 2021Accepts Medicare Assignment
10401 W CHARLESTON BLVD, LAS VEGAS, NV 89135(702) 207-4242 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 20, 2026, Jun 16, 2021 (2 updates tracked since 2021).

About Andrew Mackenzie Fuller Cf-slp NPPES

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

ANDREW MACKENZIE FULLER CF-SLP (NPI 1295303196) is an individual speech-language pathologist provider in Las Vegas, Nevada, licensed in Virginia (2202011795) and active in the NPI registry since June 2021. He is a graduate of Other (2021).

NPPES Registry Identity

NPI1295303196
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameANDREW MACKENZIE FULLERCredential: CF-SLP
Location Address10401 W CHARLESTON BLVDLas Vegas, NV 89135-1151
Mailing Address935 Keswick BlvdLouisville, KY 40217-2136 · (502) 341-9369
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 16, 2021
Last NPPES UpdateApril 20, 20262 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
NPI 1295303196 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 VA · 2202011795
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.

10401 W CHARLESTON BLVD, Las Vegas, NV 89135

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Andrew Mackenzie Fuller Cf-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800361908
PECOS Enrollment IDI20260407000575, I20260409001875

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.

Physical Therapist
10401 W CHARLESTON BLVD
LAS VEGAS, NV 89135
Emergency Medicine (Undersea and Hyperbaric Medicine)
10401 W CHARLESTON BLVD
LAS VEGAS, NV 89135
Physical Therapy Assistant
10401 W CHARLESTON BLVD
LAS VEGAS, NV 89135
Occupational Therapist
10401 W CHARLESTON BLVD
LAS VEGAS, NV 89135
Community/Behavioral Health
10401 W CHARLESTON BLVD
LAS VEGAS, NV 89135
Social Worker (Clinical)
10401 W CHARLESTON BLVD
LAS VEGAS, NV 89135
Occupational Therapist
10401 W CHARLESTON BLVD
LAS VEGAS, NV 89135
Physical Therapy Assistant
10401 W CHARLESTON BLVD
LAS VEGAS, NV 89135

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 Andrew Fuller's NPI number?

The NPI number for Andrew Fuller is 1295303196. It was assigned to this individual provider in the NPPES registry on June 16, 2021.

Where is Andrew Fuller located?

Andrew Fuller practices at 10401 W Charleston Blvd, Las Vegas, NV 89135. The listed phone number is (702) 207-4242.

What is Andrew Fuller's specialty?

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

Is Andrew Fuller enrolled in Medicare?

Yes. Andrew Fuller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Andrew Fuller was last updated on April 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.