JENNA LEE FUNK (NPI# 1093275216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093275216 |
| Entity Type | Individual |
| Full Name | JENNA LEE FUNK |
| Credential | LPN |
| Practice Address |
1201 S Lee St Appleton WI 54915-3723 |
| Mailing Address |
803 W Browning St Appleton WI 54914-2155 |
| Practice Telephone | 9208583302 |
| Mailing Telephone | 9209032274 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 320377 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598258071 | Jenna Funk | Speech-Language Pathologist | 6239 S East St Ste A, Indianapolis, IN 46227-2088 | 2018-06-11 |
| Street Address |
1201 S LEE ST |
| City | APPLETON |
| State | WI |
| Zip Code | 54915-3723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740769769 | Kayla Elaine3 Garza | Licensed Practical Nurse | 1201 S Lee St, Appleton, WI 54915-3723 | 2018-08-09 |
| 1902342959 | Carol Sullivan | Licensed Practical Nurse | 1201 S Lee St, Appleton, WI 54915-3723 | 2017-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1912426958 | Shanna L. Larsen | Registered Nurse | 1101 E. South River St., Appleton, WI 54915 | 2017-09-11 |
| 1477082816 | Amy Fazel | Driver | 226 E Calumet St, Appleton, WI 54915 | 2017-06-08 |
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| 1386808319 | Shawn S Williamson | Emergency Medicine | 1506 South Oneida Street, Appleton, WI 54915 | 2008-07-18 |
| 1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| Find all providers in zip 54915 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669935383 | Melissa M Becher | Licensed Practical Nurse | 44 Valerie Dr, Appleton, WI 54915-6217 | 2019-04-09 |
| 1912472242 | Nicholas Derkowski | Licensed Practical Nurse | 2255 W Pershing St, Appleton, WI 54914-6061 | 2018-10-13 |
| 1417444274 | Nikelle Gibson | Licensed Practical Nurse | 4524 N Clayhill Dr, Appleton, WI 54913-6847 | 2018-04-17 |
| 1558810416 | Lynn Lichterman | Licensed Practical Nurse | 4123 N Woodridge Dr, Appleton, WI 54913-6396 | 2016-10-03 |
| 1255784799 | Michelle Drexler | Licensed Practical Nurse | 2237 W Twin Willows Dr, Appleton, WI 54914-6867 | 2016-07-20 |
| 1013399062 | Kristina Rickert | Licensed Practical Nurse | 4500 N French Rd, Appleton, WI 54913-8363 | 2015-06-26 |
| 1235471939 | Catherine Cabilao Schrader | Licensed Practical Nurse | 1211 W Summer St, Appleton, WI 54914-3516 | 2013-03-20 |
| 1497045249 | Kelly Ann Schumacher | Licensed Practical Nurse | 1313 E Harriet St Apt 3, Appleton, WI 54915-2783 | 2011-04-13 |
| 1962712976 | Helen Catherine Belling | Licensed Practical Nurse | 1630 Holland Rd, #106, Appleton, WI 54911-8305 | 2010-10-13 |
| 1891933370 | Morgan J Kelley | Licensed Practical Nurse | 3301b N Ballard Rd, Appleton, WI 54911-8988 | 2009-01-22 |
| Find all providers in APPLETON | ||||
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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.