Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Ericca Facun

Speech-Language Pathologist β€’ Pembroke Pines, FL

Active NPI 1588931406 Individual Practitioner Female Practitioner
Practice location in NPPES

17901 Nw 5th St Ste 201
Pembroke Pines, FL 330292810

Call 9544061598 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

17901 Nw 5th St Ste 201

Pembroke Pines, FL 330292810

Telephone 9544061598
Organization at the Same NPPES Address or Phone
Konfetti Kidz Therapy Facility NPI 1508389644

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Davie, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Pembroke Pines and Florida

72 active clinicians are listed under Speech-Language Pathologist with a practice address in Pembroke Pines, FL (11,513 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pembroke Pines

0% of these 72 clinicians have the CMS telehealth indicator.

0% of these 72 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-06-23
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL SA15385

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Secondary Practice Locations

8001 Sw 36th St, Suite 9

Davie, FL 333281915

Phone: 9545777790

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location June 23, 2021

Registered at 17901 NW 5TH ST STE 201, PEMBROKE PINES, FL 330292810 (Tel: 9544061598)

πŸ“
Updated Business Mailing Address June 23, 2021

Registered at 17901 NW 5TH ST STE 201, PEMBROKE PINES, FL 330292810

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2021

Speech-Language Pathologist

βœ…
NPI Profile Active October 08, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location October 08, 2017

Registered at 19060 NW 12TH ST, PEMBROKE PINES, FL 330292948 (Tel: 9545361190)

πŸ“
Updated Business Mailing Address October 08, 2017

Registered at 19060 NW 12TH ST, PEMBROKE PINES, FL 330292948

πŸ‘€
Provider Name / Credentials Updated October 08, 2017

Recorded as ERICCA FACUN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2017

Speech-Language Pathologist (license number reported to NPPES: FL SA15385)

βœ…
NPI Profile Active November 21, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 21, 2011

Registered at 8001 SW 36TH ST, SUITE 9, DAVIE, FL 333281915 (Tel: 9545777790)

πŸ“
Business Mailing Address (Initial Record) November 21, 2011

Registered at 8001 SW 36TH ST, SUITE 9, DAVIE, FL 333281915 (Tel: 9545777790)

πŸ‘€
Provider Name / Credentials (Initial Record) November 21, 2011

Recorded as ERICCA FACUN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2011

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration November 21, 2011

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1588931406
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2011
Last Update: June 23, 2021
Sole Proprietor: Yes

Mailing Address

17901 Nw 5th St Ste 201

Pembroke Pines, FL 330292810

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.