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Deactivated NPI 1457508111 Deactivated / Inactive NPI Female Practitioner

Stacy Elizabeth Fulmer , MS, CCC-SLP

Speech-Language Pathologist • Conway, AR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Stacy Fulmer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 25, 2008
NPI Deactivation Date July 30, 2026
Total Practice Duration ~18 Years of Practice (2008 – 2026)

Professional Overview & Biography Verified Profile Summary

Stacy Fulmer, MS, CCC-SLP was a registered Speech-Language Pathologist practicing in Conway, AR. Throughout an active medical career spanning 18 years, Stacy Fulmer provided care at the practice location at 2740 COLLEGE AVE until profile deactivation on 2026-07-30.

Practice Location & Contact Primary Location

Practice Address

2740 College Ave

Conway, AR 720346141

Telephone 5013295459
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Conway, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.1 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
190 Specialists

Practicing in Conway, AR (3707 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 AR 1066

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

40 Associated Practitioners
Chelsea Mcmorrough , SLP

Speech-Language Pathologist

NPI 1003362039

Speech-Language Pathologist

Ashley Halcrombe , LPN

Licensed Practical Nurse

NPI 1003526906

Licensed Practical Nurse

Fantasia Barmore

Behavior Technician

NPI 1003695925
Andrea Martin , OTRL

Occupational Therapist - Pediatrics

NPI 1003950254

Occupational Therapist Registered & Licensed

Jessica Walker , MS, SLP

Speech-Language Pathologist

NPI 1013045145

Master of Science, Speech-Language Pathologist

Tabatha Gunnels , PT

Physical Therapist - Pediatrics

NPI 1013068717

Physical Therapist

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 30, 2026

Record deactivated on July 30, 2026

NPI Profile Active August 25, 2008

NPI status registered as active in NPPES database

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Updated Practice Location August 25, 2008

Registered at 2740 COLLEGE AVE, CONWAY, AR 720346141 (Tel: 5013295459)

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Updated Business Mailing Address August 25, 2008

Registered at 4435 TREE HOUSE DR, CONWAY, AR 720348265 (Tel: 5013369956)

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Provider Name / Credentials Updated August 25, 2008

Recorded as STACY FULMER, MS, CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2008

Speech-Language Pathologist (License #1066 in AR)

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Initial NPI Registration & Enumeration August 25, 2008

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: 1457508111
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2008
Last Update: August 25, 2008
Deactivation Date: July 30, 2026

Mailing Address

4435 Tree House Dr

Conway, AR 720348265

Phone: 5013369956

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

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