IndividualActive
Jennifer Cullimore, SLP
NPI 1649490632 · Speech-Language Pathologist · Fort Wayne, IN
Provider details
- NPI number
- 1649490632
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 22004426A (IN)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
808 Mill Lake Rd
Fort Wayne, IN 46845-6400
Phone: (260) 338-1241
Fax: (260) 338-1231
Street-level locationGet directions
Mailing address
4404 Bridgetown Run
Fort Wayne, IN 46804-4809
Registry dates
- Enumerated
- 2007-05-01
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.