Andrew Mackenzie Fuller, CF-SLP
NPI 1295303196ActiveIndividual· Speech-Language Pathologist· Las Vegas, NV
Speech-Language Pathologist (CF-SLP) with Functional Pathways Preferred of Tennessee LLC, practicing in Las Vegas, Nevada. Enrolled in Medicare as practitioner - qualified speech language pathologist and practitioner - qualified speech language pathologist.
Overview
| NPI | 1295303196 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CF-SLP |
| Sole proprietor | Yes |
| NPI issued | Jun 16, 2021 |
| Last updated in NPPES | Apr 20, 2026 |
| Certified by provider | Apr 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 2202011795 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (DC); Practitioner - Qualified Speech Language Pathologist (VA) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Functional Pathways Preferred of Tennessee LLCNorthbrook, IL · 196 clinicians
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