Individual provider Active NPI

Allisyn Converse

  • Speech-Language Pathologist
  • Bentonville, AR
National Provider Identifier
1184581894
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
203413 Issued in AR
Practice address
3108 SW Regency Pkwy Ste 5
Bentonville, AR 72712-7753
Phone
(479) 252-3321
Fax
(479) 668-2257
NPI assigned
Jan 6, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 203413 AR Primary

Addresses

Primary practice location

3108 SW Regency Pkwy Ste 5
Bentonville, AR 72712-7753

Mailing address

3108 SW Regency Pkwy Ste 5
Bentonville, AR 72712-7753
Phone (479) 252-3321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260415000699 AR Practitioner - Qualified Speech Language Pathologist 8820564115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3108 SW Regency Pkwy
Suite 5
Bentonville, AR 72712-7753

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
203413ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fusion Therapy Center, LLC Speech-Language Pathologist CurrentSince Apr 9, 2026 Accepting new patients

Locations

3108 SW Regency Pkwy
Ste 5
Bentonville, AR 72712
Phone (479) 252-3321

3201 SW Regency Pkwy
Ste 5
Bentonville, AR 72712
Phone (479) 252-3321

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1184581894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 SW REGENCY PKWY STE 5",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127753",
            "telephone_number": "479-252-3321",
            "fax_number": "479-668-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 SW REGENCY PKWY STE 5",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127753",
            "telephone_number": "479-252-3321",
            "fax_number": "479-668-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONVERSE",
        "first_name": "ALLISYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "203413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.