Individual provider Active NPI

Thelma N. Fung, CCC-SLP

  • Speech-Language Pathologist
  • Englewood, CO
National Provider Identifier
1962559005
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
NOT APPLICABLE Issued in CO
Practice address
7936 E Arapahoe CT
Suite 2900
Englewood, CO 80112-1369
Phone
(303) 770-1555
Fax
(303) 770-2655
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 NOT APPLICABLE CO Primary

Addresses

Primary practice location

7936 E Arapahoe CT
Suite 2900
Englewood, CO 80112-1369

Mailing address

7936 E Arapahoe CT
Suite 2900
Englewood, CO 80112-1369
Phone (303) 770-1555

Other identifiers 1

IdentifierTypeStateIssuer
83179755MedicaidCO

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962559005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7936 E ARAPAHOE CT",
            "address_2": "SUITE 2900",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801121369",
            "telephone_number": "303-770-1555",
            "fax_number": "303-770-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7936 E ARAPAHOE CT",
            "address_2": "SUITE 2900",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801121369",
            "telephone_number": "303-770-1555",
            "fax_number": "303-770-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNG",
        "first_name": "THELMA",
        "middle_name": "N.",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "NOT APPLICABLE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83179755",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.