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BERNICE FOMUNUNG
NPI 1225679368
Nurse Practitioner - Psychiatric/Mental Health in Chehalis, WA

Active since September 30, 2019
375 SW 11TH ST, CHEHALIS, WA 98532(564) 999-3410(360) 740-3450 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2026, Sep 30, 2019 (2 updates tracked since 2019).

About Bernice Fomunung NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERNICE FOMUNUNG (NPI 1225679368) is an individual psychiatric/mental health provider in Chehalis, Washington, licensed in Texas (AP142982) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1225679368
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameBERNICE FOMUNUNG
Location Address375 SW 11TH STChehalis, WA 98532-4700
Mailing Address3134 Izabella CtFrisco, TX 75033-8068 · (469) 427-1482
Phone(564) 999-3410
Fax(360) 740-3450
Sole ProprietorYes
Enumeration DateSeptember 30, 2019
Last NPPES UpdateMay 18, 20262 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1225679368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · AP142982
375 SW 11TH ST, Chehalis, WA 98532
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RODNEY RENE SOTO SUDPT
Counselor (Addiction (Substance Use Disorder))
375 SW 11TH ST
CHEHALIS, WA 98532
Lewis County (360) 740-3449
GREEN HILL SCHOOL
Case Manager/Care Coordinator
375 SW 11TH ST
CHEHALIS, WA 98532
Lewis County (360) 740-3443
HAILEY PRINCE
Registered Nurse
375 SW 11TH ST
CHEHALIS, WA 98532
Lewis County (564) 200-4414
PABLO TORRES SUDP
Counselor (Addiction (Substance Use Disorder))
375 SW 11TH ST
CHEHALIS, WA 98532
Lewis County (360) 740-3449
LINDA WULF
Social Worker
375 SW 11TH ST
CHEHALIS, WA 98532
Lewis County (360) 740-3400
CLYDE DANIEL BERRY
Counselor (Addiction (Substance Use Disorder))
375 SW 11TH ST
CHEHALIS, WA 98532
Lewis County (360) 740-3534
EMILY MICHELLE BONIFACE RN60328788
Registered Nurse
375 SW 11TH ST
CHEHALIS, WA 98532
Lewis County (360) 819-6595

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bernice Fomunung's NPI number?

The NPI number for Bernice Fomunung is 1225679368. It was assigned to this individual provider in the NPPES registry on September 30, 2019.

Where is Bernice Fomunung located?

Bernice Fomunung practices at 375 SW 11th St, Chehalis, WA 98532. The listed phone number is (564) 999-3410.

What is Bernice Fomunung's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Bernice Fomunung accept?

Health plans from Blue Cross and Blue Shield of Texas and Providence Health Plan list Bernice Fomunung as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bernice Fomunung was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.