Shirliey Fung, L.AC., MACOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00002909 Issued in WA

Practice address

8009 S 180TH St
#104
Kent, WA 98032-1042

Phone

(206) 550-5206

NPI assigned

Sep 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1144416249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16860 SE 171ST PL",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980584200",
            "telephone_number": "206-550-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8009 S 180TH ST",
            "address_2": "#104",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980321042",
            "telephone_number": "206-550-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNG",
        "first_name": "SHIRLIEY",
        "credential": "L.AC., MACOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00002909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Megan Fulkerson, DPT
• Deanna Lila Fuller
• L.Cynthia Coe Fuller, RDH
• Brian Jon Yan Fung, MD
• Frank P S Fung, MD
• Vincent Antonio Fuoco
• Wrex Fyfan
• Zainab Ali Gaal-Weber, ARNP
• Mary Gachau
• Collin Gage, PT, DPT

• Acupuncturist in Kent, WA
• Providers in Kent, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.