Functional Feeding Solutions

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FUNCTIONAL FEEDING SOLUTIONS

Practice address

2 Wentworth CT
Johnson City, TN 37604-2281

Phone

(423) 416-2398

NPI assigned

Feb 11, 2022

Organization subpart

No

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

Authorized official

Name

Charlena Lau Ward, MS, CCC-SLP, CLS

Title

Speech-Language Pathologist

Phone

(423) 416-2398

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Whitney Charlena Lau, MS, CCC-SLP

  • Speech-Language Pathologist
  • Johnson City, TN
  • NPI 1205184561
  NPD
• Lenzie Faith Proffitt

  • Speech-Language Pathologist
  • Johnson City, TN
  • NPI 1275370900
  NPD (past)

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1376297929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WENTWORTH CT",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042281",
            "telephone_number": "423-416-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WENTWORTH CT",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042281",
            "telephone_number": "423-416-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL FEEDING SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "CHARLENA",
        "authorized_official_middle_name": "LAU",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "423-416-2398",
        "authorized_official_credential": "MS, CCC-SLP, CLS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "charlena5115@aol.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 Wentworth Ct",
            "city": "Johnson City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376042281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aleksandr M. Fuks, M.D.
• Timothy Michael Fullagar, M.D.
• Fuller Rehabilitation and Consulting Services, Inc.
• Kira Fuller, DO
• Mary Leah Fultineer, BA CPRP
• Mary Helen Fuqua, CTRS
• Maurice Furdge, MD
• Kelsey Dawn Furr, RT(R)
• Lauryn Camille Gabby, MD
• Christopher R. Gabler, P.A.-C.

• Home Health Agency in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Home Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.