Marissa Funk

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

117921 Issued in IA

Practice address

4300 S Lakeport St Ste 102
Sioux City, IA 51106-9533

Phone

(712) 224-2150

NPI assigned

Dec 30, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Childworks Therapy Clinic, PLLC

  • Speech-Language Pathologist
  • Sioux City, IA
  • NPI 1669054441
  NPD (past)

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1083327472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272",
            "city": "MOVILLE",
            "state": "IA",
            "postal_code": "510390272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 S LAKEPORT ST STE 102",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511069533",
            "telephone_number": "712-224-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "MARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-30",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "117921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "marissa@childworkstherapyclinic.com",
            "affiliation": "Y",
            "affiliationName": "Childworks Therapy Clinic, PLLC",
            "address_1": "4300 S Lakeport St Ste 106",
            "city": "Sioux City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "511069533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ann Terese Frisbie, DOT, MOT, OTR/L
• James Roland Froggatt, MD
• Chris J Frommelt, R.PH
• Aaron Fuehrer
• Danelle Fulton, R.N.
• Isaac Gene Funke
• Daniel Donald Fuxa, CRNA
• Jessica Lyn Galbavy, PHYSICAL THERAPIST
• Kelsey Elizabeth Galindo, LISW
• America Gallardo

• Speech-Language Pathologist in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Speech-Language Pathologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.