HEATHER N FUNDERBURK (NPI# 1033577234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033577234 |
| Entity Type | Individual |
| Full Name | HEATHER N FUNDERBURK |
| Credential | APRN |
| Practice Address |
320 Luzerne St Mount Ida AR 71957-9437 |
| Mailing Address |
Po Box 21850 Hot Springs AR 71903-1850 |
| Practice Telephone | 8708672175 |
| Practice Fax Number | 8708674050 |
| Mailing Telephone | 8708672175 |
| Mailing Fax Number | 8708674050 |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A004630 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 212117758 | 05 |
| Street Address |
320 LUZERNE ST |
| City | MOUNT IDA |
| State | AR |
| Zip Code | 71957-9437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124095120 | Michael Verser | Family Medicine | 320 Luzerne St, Mount Ida, AR 71957-9437 | 2006-03-08 |
| 1417506676 | Samantha Bollan | Nurse Practitioner | 320 Luzerne St, Mount Ida, AR 71957-9437 | 2019-09-10 |
| 1518337765 | Kara J Hill | Physician Assistant | 320 Luzerne St, Mount Ida, AR 71957-9437 | 2015-09-30 |
| 1700268042 | Sherry Housley | Nurse Practitioner | 320 Luzerne St, Mount Ida, AR 71957-9437 | 2015-06-23 |
| 1982978532 | Lori D Fortner | Nurse Practitioner | 320 Luzerne St, Mount Ida, AR 71957-9437 | 2012-02-29 |
| 1164752994 | Chi St. Vincent Medical Group Hot Springs | Family Medicine | 320 Luzerne St, Mount Ida, AR 71957-9437 | 2009-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619326881 | Wagner Drugs, Inc. | Pharmacy | 744 Hwy 270 East, Mount Ida, AR 71957 | 2016-06-08 |
| 1245699636 | Seeking Serenity Holistic Therapy Center | Social Worker | 506 Hwy 270 E, Mt.ida, AR 71957 | 2016-02-15 |
| 1518368562 | Village Apothecary, Inc. | Durable Medical Equipment & Medical Supplies | 136 S George Street, Mt Ida, AR 71957 | 2014-09-09 |
| 1306276217 | Compleat Rehab and Sports Therapy Center(satellite Branch)of Jordan Pt | Physical Therapist | 135 South East Street, Mt.ida, AR 71957 | 2013-11-14 |
| 1265871370 | Barbara E Page | Veterinarian | 317 North George St, Mount Ida, AR 71957 | 2013-06-21 |
| 1609079102 | Cynthia Jean Crowson | Social Worker | 506 Highway 270 East, Mt. Ida, AR 71957 | 2007-06-11 |
| 1124229794 | David P Hochstedler | Physical Therapist | 741 South Dr, Mt. Ida, AR 71957 | 2007-05-30 |
| 1386864791 | Samantha Dawn Ashford | Physical Therapy Assistant | 741 S Drive, Mount Ida, AR 71957 | 2007-04-26 |
| 1396964557 | Jerry Daniel Mullin | Skilled Nursing Facility | 741 South Drive, Mt. Ida, AR 71957 | 2007-04-25 |
| 1861585002 | City Drug and Soda Fountain | Durable Medical Equipment & Medical Supplies | 121 W S West Street, Mount Ida, AR 71957 | 2006-10-02 |
| Find all providers in zip 71957 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689166886 | Schasta Lyn Hibbs | Nurse Practitioner | 534 Luzerne St, Mount Ida, AR 71957 | 2018-06-04 |
| 1992224950 | Amy Stvartak | Nurse Practitioner | 534 Luzerne St, Mount Ida, AR 71957-9449 | 2017-09-11 |
| 1700268042 | Sherry Housley | Nurse Practitioner | 320 Luzerne St, Mount Ida, AR 71957-9437 | 2015-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617594 | Mckenzie Lauren Cotton | Nurse Practitioner | 1065 Skyline Dr, Conway, AR 72032-3530 | 2020-10-25 |
| 1437758026 | Ashley Michelle Rima | Nurse Practitioner | 205 Spencer St, Hot Springs, AR 71901-7742 | 2020-10-23 |
| 1063010874 | Phillip Wayne Stokes Jr. | Nurse Practitioner | 31 Ashcraft Ct, Paragould, AR 72450-7592 | 2020-10-14 |
| 1720685308 | Dannie Evenda Loy | Nurse Practitioner | 101 Hammond Drive #2131, Hot Springs, AR 71914 | 2020-10-06 |
| 1457958233 | Kaitlyn Soffray Simmons | Nurse Practitioner | 500 Kitchen St, Jonesboro, AR 72401-3135 | 2020-10-05 |
| 1013524487 | Danielle Lynn Frueh | Nurse Practitioner | 103 W University St, Siloam Springs, AR 72761-2663 | 2020-09-29 |
| 1407463938 | Aleshia Williams | Nurse Practitioner | 5401 Clear Creek Ln, Jonesboro, AR 72404-7006 | 2020-09-29 |
| 1801403217 | Jessica Evelyn Mcnamee | Nurse Practitioner | 180 Medical Park Pl Ste 202, Hot Springs, AR 71901-8067 | 2020-09-29 |
| 1437765831 | Allison Nicole Hitt | Nurse Practitioner | 3644 W Hwy 18, Manila, AR 72442 | 2020-09-21 |
| 1528674181 | Maggie Mullican | Nurse Practitioner | 7084 S Pleasant Ridge Dr, Fayetteville, AR 72704-5447 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.