Active NPI
Iris Fung, AUD
- Audiologist
- Silverdale, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- LD60573570
- Practice address
- 2200 NW Myhre Rd
Silverdale, WA 98383-7681 - Phone
- (360) 830-1100
- Fax
- (360) 830-1385
- NPI assigned
- Jun 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | LD60573570 | WA | Primary |
Addresses
Primary practice location
2200 NW Myhre Rd
Silverdale, WA 98383-7681
Mailing address
2200 NW Myhre Rd
Silverdale, WA 98383-7681
Phone (360) 830-1100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01527864 | Other | WA | RR PTAN |
| 344823 | Other | WA | LNI |
| 20461882 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2200 NW Myhre Rd
Silverdale, WA 98383-7681
Phone (360) 830-1100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD60573570 | WA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Wenatchee Valley Hospital | Current | Accepting new patients | |
| Franciscan Medical Group | Past | Accepting new patients |
Locations
840 E Hill Ave
Moses Lake, WA 98837
Phone (509) 764-6400
2200 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 830-1100
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
17 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2174
820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868
Interoperability endpoints
- iris.fung@tdc.directbygreenway.com
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Multi-Specialty Clinic/Center
- Wenatchee, WA
- NPI 1669719688
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
-
- Family Medicine Physician
- Gig Harbor, WA
- NPI 1386602555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618444800000",
"number": "1376924829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 NW MYHRE RD",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983837681",
"telephone_number": "360-830-1100",
"fax_number": "360-830-1385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 NW MYHRE RD",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983837681",
"telephone_number": "360-830-1100",
"fax_number": "360-830-1385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNG",
"first_name": "IRIS",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-10",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "LD60573570",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR PTAN",
"identifier": "P01527864",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LNI",
"identifier": "344823",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20461882",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.