Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Lisa Jane Fullenkamp, MA, CCC-SLP

Speech-Language Pathologist in Council Bluffs, IA · enumerated 2008.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104082205

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Registry record

Entity type Individual (Type 1)

Name Lisa Jane Fullenkamp

Credential MA, CCC-SLP

Sex Female

Practice address 3000 Risen Son Blvd, Council Bluffs, IA, 51503

Phone (712) 366-0286

Fax (712) 366-0277

Enumeration date Jul 29, 2008

Last updated in NPPES Jul 29, 2008

Taxonomy & licenses

235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers · License 01568 (IA) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1104082205 active?

Yes, as of the latest NPPES snapshot, NPI 1104082205 is active (record last updated 2008-07-29).

How do I verify Lisa Fullenkamp's NPI record?

Cross-check NPI 1104082205 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-29.