Individual provider Active NPI

Whitney Bond Funderburk

  • Speech-Language Pathologist
  • Winston Salem, NC
National Provider Identifier
1841139961
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4466 Issued in NC
Practice address
475 Corporate Square Dr
Winston Salem, NC 27105-9100
Phone
(336) 727-2816
NPI assigned
Mar 25, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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 4466 NC Primary

Addresses

Primary practice location

475 Corporate Square Dr
Winston Salem, NC 27105-9100

Mailing address

4932 Bent Tree Way
Yadkinville, NC 27055-5818
Phone (336) 671-6625

Other practice location 1

3000 Bethesda Pl Ste 102
Winston Salem, NC 27103-3323
Phone (336) 866-5019

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

NPI Registry JSON

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1841139961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4932 BENT TREE WAY",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270555818",
            "telephone_number": "336-671-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 CORPORATE SQUARE DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271059100",
            "telephone_number": "336-727-2816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Bethesda Pl Ste 102",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271033323",
            "country_code": "US",
            "telephone_number": "336-866-5019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNDERBURK",
        "first_name": "WHITNEY",
        "middle_name": "BOND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "4466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.