1. Home
  2. Directory
  3. Idaho
  4. Falls
  5. Speech Language Pathologist
  6. NPI Profile

LORENZA FULLMER M.S., CCC-SLP
NPI 1669880670
Speech-Language Pathologist in Idaho Falls, ID

Active since July 23, 2014Accepts Medicare Assignment
3715 WOODKING DR, IDAHO FALLS, ID 83404(208) 529-2255 Get Directions Write a Review

NPPES record last updated: September 3, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lorenza Fullmer M.s., Ccc-slp NPPES

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

LORENZA FULLMER M.S., CCC-SLP (NPI 1669880670) is an individual speech-language pathologist provider in Idaho Falls, Idaho, licensed in Idaho (SLP 2380) and active in the NPI registry since July 2014. She is a graduate of Other (2012).

NPPES Registry Identity

NPI1669880670
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameLORENZA FULLMERCredential: M.S., CCC-SLP
Location Address3715 WOODKING DRIdaho Falls, ID 83404-4720
Mailing Address1212 W 100 SBlackfoot, ID 83221-6035 · (208) 221-0080
Phone(208) 529-2255
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 23, 2014
Last NPPES UpdateSeptember 3, 2014
✔ NPI 1669880670 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 ID · SLP 2380
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.
3715 WOODKING DR, Idaho Falls, ID 83404
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lorenza Fullmer M.s., Ccc-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 ID4385865872
PECOS Enrollment IDI20141027001420

Medicare Billing Reassignment

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

Foothills Rehabilitation & Performance Services, PLLC
Same address
Physical Therapist
3715 WOODKING DR
Idaho Falls, ID 83404
  • Reassigned Medicare billing, Idaho enrollment
  • 13 clinicians in this Medicare group
NPI 1063829836 (208) 529-2255

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.

MRS. HEIDI MAXINE BOYLE MOTR/L
Occupational Therapist
3715 WOODKING DR
IDAHO FALLS, ID 83404
Bonneville County (208) 529-2255
BAILEE J JEPPESEN
Speech-Language Pathologist
3715 WOODKING DR
IDAHO FALLS, ID 83404
Bonneville County (208) 529-2255
CELEBRATION SPEECH INC
Clinic/Center (Rehabilitation)
3715 WOODKING DR
IDAHO FALLS, ID 83404
Bonneville County (208) 520-2242
FOOTHILLS REHABILITATION & PERFORMANCE SERVICES, PLLC
Physical Therapist
3715 WOODKING DR
IDAHO FALLS, ID 83404
Bonneville County (208) 529-2255
ABBY LUCILE JENSEN
Physical Medicine & Rehabilitation
3715 WOODKING DR
IDAHO FALLS, ID 83404
Bonneville County (208) 529-2255
AMANDA LAGERSTROM MOT OTR/L
Occupational Therapist
3715 WOODKING DR
IDAHO FALLS, ID 83404
Bonneville County (208) 529-2255
MRS. RACHEL MARIA BARNES M.S. CF-SLP
Speech-Language Pathologist
3715 WOODKING DR
IDAHO FALLS, ID 83404
Bonneville County (208) 529-2255
SHAYLEE JACOBS CALAWAY
Occupational Therapist
3715 WOODKING DR
IDAHO FALLS, ID 83404
Bonneville County (208) 529-2255

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 Lorenza Fullmer's NPI number?

The NPI number for Lorenza Fullmer is 1669880670. It was assigned to this individual provider in the NPPES registry on July 23, 2014.

Where is Lorenza Fullmer located?

Lorenza Fullmer practices at 3715 Woodking Dr, Idaho Falls, ID 83404. The listed phone number is (208) 529-2255.

What is Lorenza Fullmer's specialty?

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

Is Lorenza Fullmer enrolled in Medicare?

Yes. Lorenza Fullmer 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.

Which organization bills Medicare for Lorenza Fullmer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lorenza Fullmer reassigns Medicare benefits to Foothills Rehabilitation & Performance Services, PLLC (Idaho Falls, ID). 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 Lorenza Fullmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lorenza Fullmer accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health and 1 other insurer list Lorenza Fullmer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lorenza Fullmer was last updated on September 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.