Fantasia P Vang, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6683-154 Issued in WI

Practice address

7711 Freeland CT
Greendale, WI 53129-1658

Phone

(414) 210-0088

Fax

(414) 509-1630

NPI assigned

Jul 30, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Therapy at Home LLCGroup PAC ID 0244522217, 10 clinicians

Muslim Community and Health Center of Wisconsin Inc.Group PAC ID 7618258062, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Muslim Community and Health Center of Wisconsin Inc

  • Community Health Clinic/Center
  • Milwaukee, WI
  • NPI 1962850768
  Medicare reassignment Care Compare group NPD
• Therapy at Home LLC

  • Geriatric Physical Therapist
  • Greendale, WI
  • NPI 1477900561
  Medicare reassignment Care Compare group NPD
• Comprehensive Podiatry Services

  • Foot & Ankle Surgery Podiatrist
  • Milwaukee, WI
  • NPI 1134885809
  NPD

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1942039862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7711 FREELAND CT",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531291658",
            "telephone_number": "414-210-0088",
            "fax_number": "414-509-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7711 FREELAND CT",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531291658",
            "telephone_number": "414-210-0088",
            "fax_number": "414-509-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANG",
        "first_name": "FANTASIA",
        "middle_name": "P",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "6683-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TP KCB Harbour Village Opco, LLC
• Molly Elizabeth Umana
• Usv Optical Inc
• Emma Valdez, LCSW
• Kaitlyn Van Ells, DPT
• Nebojsa Vesic, OD
• Village of Greendale
• Village of Greendale
• Visionworks, Inc.
• Visiting Medical Associates

• Speech-Language Pathologist in Greendale, WI
• Providers in Greendale, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.