Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MRS. STACY MARIE TULLY
NPI 1194644765
Speech-Language Pathologist in Jefferson, WI

Active since July 15, 2026
217 MEADOW CT, JEFFERSON, WI 53549(920) 988-3482 Get Directions Write a Review

NPPES record added: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Stacy Marie Tully NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. STACY MARIE TULLY (NPI 1194644765) is an individual speech-language pathologist provider in Jefferson, Wisconsin, licensed in Wisconsin (14036174) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1194644765
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. STACY MARIE TULLY
Location Address217 MEADOW CTJefferson, WI 53549-1184
Mailing Address217 Meadow CtJefferson, WI 53549-1184 · (920) 988-3482
Sole ProprietorNo
Enumeration DateJuly 15, 2026
NPPES CertifiedJuly 15, 2026
NPI 1194644765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in WI · 14036174
Definition
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.
217 MEADOW CT, Jefferson, WI 53549

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Tully's NPI number?

The NPI number for Stacy Tully is 1194644765. It was assigned to this individual provider in the NPPES registry on July 15, 2026.

Where is Stacy Tully located?

Stacy Tully practices at 217 Meadow Ct, Jefferson, WI 53549. The listed phone number is (920) 988-3482.

What is Stacy Tully's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Stacy Tully was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.