Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134317332 Individual Practitioner Female Practitioner

Nina L Fuller

Speech-Language Pathologist • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Nina Fuller is a registered healthcare professional specializing in Speech-Language Pathologist in Mesa, AZ. Practice services are available at 930 W SOUTHERN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

930 W Southern Ave

Mesa, AZ 852104938

Telephone 4808350857
Associated Practice Facility / Clinic
🏢 Fiesta Pediatric Therapy Facility NPI 1508931569

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.7 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
429 Specialists

Practicing in Mesa, AZ (4584 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License AZ SLP5621

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Mary Ann Sheely

Occupational Therapist - Pediatrics

NPI 1003946005
Chad Romanoff

Occupational Therapist - Pediatrics

NPI 1104963412
Megan Aubry , OT

Occupational Therapist - Pediatrics

NPI 1396800132

Occupational Therapist

Joy Leslie , SLP

Speech-Language Pathologist

NPI 1437212263

Speech-Language Pathologist

Caroline Adamson

Speech-Language Pathologist

NPI 1467640664
Amy Kneller

Occupational Therapist - Pediatrics

NPI 1699805606

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 12, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 12, 2007

Registered at 930 W SOUTHERN AVE, MESA, AZ 852104938 (Tel: 4808350857)

📍
Updated Business Mailing Address October 12, 2007

Registered at 930 W SOUTHERN AVE, MESA, AZ 852104938

👤
Provider Name / Credentials Updated October 12, 2007

Recorded as NINA FULLER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2007

Speech-Language Pathologist (License #SLP5621 in AZ)

🟢
Initial NPI Registration & Enumeration October 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1134317332
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2007
Last Update: October 12, 2007
Sole Proprietor: No

Mailing Address

930 W Southern Ave

Mesa, AZ 852104938

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.