Active NPI
Katherine Funk, MM, MT-BC, NMT
- Music Therapist
- Phoenix, AZ
National Provider Identifier
1548948664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 11885
- Practice address
- 7080 N 19TH Ave
Phoenix, AZ 85021-8585 - Phone
- (480) 826-1463
- NPI assigned
- Jul 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 11885 | CO | Primary |
Addresses
Primary practice location
7080 N 19TH Ave
Phoenix, AZ 85021-8585
Mailing address
7223 N 73Rd Dr
Glendale, AZ 85303-2572
Phone (303) 482-6136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11885 | CO | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1548948664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7223 N 73RD DR",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853032572",
"telephone_number": "303-482-6136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7080 N 19TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850218585",
"telephone_number": "480-826-1463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNK",
"first_name": "KATHERINE",
"credential": "MM, MT-BC, NMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-10",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "CO",
"license": "11885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.