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STACY LYNN FULLENKAMP
NPI 1427654615
Home Health Aide in Troy, OH

Active since December 11, 2020

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stacy Lynn Fullenkamp NPPES

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

STACY LYNN FULLENKAMP (NPI 1427654615) is an individual home health aide in Troy, Ohio, licensed in Ohio (374U00000X) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1427654615
Entity TypeIndividualFemale
Primary Taxonomy374U00000X
Provider Legal NameSTACY LYNN FULLENKAMP
Location Address1708 MARBY DRTroy, OH 45373-9274
Mailing Address1708 Marby DrTroy, OH 45373-9274 · (937) 469-1858
Phone(937) 469-1858
Sole ProprietorYes
Enumeration DateDecember 11, 2020
NPPES CertifiedDecember 11, 2020
✔ NPI 1427654615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
License✔ Licensed in OH · 374U00000X
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
1708 MARBY DR, Troy, OH 45373
Open in Google Maps ↗

Other Identifiers 1

Medicaid5505141OH

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 Fullenkamp's NPI number?

The NPI number for Stacy Fullenkamp is 1427654615. It was assigned to this individual provider in the NPPES registry on December 11, 2020.

Where is Stacy Fullenkamp located?

Stacy Fullenkamp practices at 1708 Marby Dr, Troy, OH 45373. The listed phone number is (937) 469-1858.

What is Stacy Fullenkamp's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Stacy Fullenkamp was last updated on December 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.