Individual provider Active NPI

Suzy Mun

  • Speech-Language Pathologist
  • Henderson, NV
National Provider Identifier
1497428585
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
2875 Saint Rose Pkwy Ste 110
Henderson, NV 89052-4842
Phone
(800) 966-0535
NPI assigned
Jul 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

2875 Saint Rose Pkwy Ste 110
Henderson, NV 89052-4842

Mailing address

2875 Saint Rose Pkwy Ste 110
Henderson, NV 89052-4842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251125002110 HI Practitioner - Qualified Speech Language Pathologist 9234621426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

220 Vicksburg Dr
Nicholasville, KY 40356-2025

725 Kapiolani Blvd
Suite C206
Honolulu, HI 96813-6001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Pathology of Hawaii LLC Speech-Language Pathologist CurrentSince Oct 1, 2025 Accepting new patients
Therapy Solutions LLC Speech-Language Pathologist CurrentSince Oct 1, 2025 Accepting new patients

Locations

725 Kapiolani Blvd
Ste C206
Honolulu, HI 96813
Phone (808) 596-0099

8513 NE Hazel Dell Ave
Ste 102
Vancouver, WA 98665
Phone (800) 594-8043

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1497428585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 SAINT ROSE PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 SAINT ROSE PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524842",
            "telephone_number": "800-966-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUN",
        "first_name": "SUZY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.

Verify at the official NPI Registry.