Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295303196 Individual Practitioner Male Practitioner

Andrew Mackenzie Fuller , CF-SLP

Speech-Language Pathologist • Las Vegas, NV

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Andrew Fuller, CF-SLP is a certified Speech-Language Pathologist practicing in Las Vegas, NV. With approximately 5 years of clinical experience since completing medical education in 2021, Andrew Fuller delivers high-quality medical care to the local community at 10401 W CHARLESTON BLVD.

Andrew Fuller is affiliated with Functional Pathways Preferred Of Tennessee Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

10401 W Charleston Blvd

Las Vegas, NV 891351151

Telephone 7022074242
Associated Practice Facility / Clinic
🏢 Humangood Nevada Facility NPI 1871674879

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Las Vegas, NV

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -8.6 yrs vs City Avg
City Avg: 13.6 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
453 Specialists

Practicing in Las Vegas, NV (916 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

Clinical Seniority & Experience Comparison

Dr. Fuller (5 Years) 5 Yrs
Las Vegas Specialty Average (13.6 Years) 13.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-04-20
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License VA 2202011795

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.

Hospital & Practice Group Affiliations

Functional Pathways Preferred Of Tennessee Llc

12052 N Shore Dr, Reston, VA 201904969

Phone: 8885312204

Functional Pathways Preferred Of Tennessee Llc

1600 Westwood Ave, Richmond, VA 232274622

Phone: 8885312204

Practice Associates & Co-Workers

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

11 Associated Practitioners
Maureen Joyce Bauto

Physical Therapy Assistant

NPI 1124897319
Sandra Calvillo

Social Worker - Clinical

NPI 1184912842
Alex Chevez , OTR

Occupational Therapist

NPI 1326659749

Occupational Therapist Registered

Kevin Luce , PTA

Physical Therapy Assistant

NPI 1427517952

Physical Therapist Assistant

Kathleen Anderson

Physical Therapy Assistant

NPI 1427521921
Lyra Cruz , PTA

Physical Therapy Assistant

NPI 1528720489

Physical Therapist Assistant

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2026

Speech-Language Pathologist (License #2202011795 in VA)

NPI Profile Active June 16, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 16, 2021

Registered at 10401 W CHARLESTON BLVD, LAS VEGAS, NV 891351151 (Tel: 7022074242)

📍
Updated Business Mailing Address June 16, 2021

Registered at 935 KESWICK BLVD, LOUISVILLE, KY 402172136 (Tel: 5023419369)

👤
Provider Name / Credentials Updated June 16, 2021

Recorded as ANDREW FULLER, CF-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2021

Speech-Language Pathologist (License #SP-3013 in NV)

🟢
Initial NPI Registration & Enumeration June 16, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295303196
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2021
Last Update: April 20, 2026
Sole Proprietor: Yes

Mailing Address

935 Keswick Blvd

Louisville, KY 402172136

Phone: 5023419369

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.