Elizabeth A Fundling, BS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1307 E Elm St
Athens, AL 35611-5318

Phone

(256) 232-3661

Fax

(256) 355-6092

NPI assigned

Jun 11, 2020

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

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.

• Mental Health Center of North Central Alabama Inc.

  • Community/Behavioral Health Agency
  • Decatur, AL
  • NPI 1124193636
  NPD
• Mental Health Center of North Central Alabama

  • Community/Behavioral Health Agency
  • Decatur, AL
  • NPI 1780859314
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

Locations

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1346865631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 SOMERVILLE RD SE STE 1",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014309",
            "telephone_number": "256-260-7361",
            "fax_number": "256-355-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 E ELM ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356115318",
            "telephone_number": "256-232-3661",
            "fax_number": "256-355-6092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4110 US Highway 31 S",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "AL",
            "postal_code": "356031644",
            "country_code": "US",
            "telephone_number": "256-260-7361",
            "fax_number": "256-355-6092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNDLING",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raece Flynt, NP-C
• Forum Green, Inc.
• Foundations Counseling Center, Inc.
• Foundations Counseling Center, Inc.
• Sam F Frankel, MD
• Gaitway Orthotics, Inc.
• Nicole Gale
• Monica Garcia, LPC
• Dawn Marie Gentry, BS
• Milton Armor George II, MD

• All providers in Athens, AL
• Case Manager/Care Coordinator in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.