RYAN M FUNDERBURK (NPI# 1235593641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235593641 |
| Entity Type | Individual |
| Full Name | RYAN M FUNDERBURK |
| Credential | AU.D. |
| Practice Address |
10475 Centurion Pkwy N Suite 303 Jacksonville FL 32256-5003 |
| Practice Telephone | 9043990350 |
| Practice Fax Number | 9043995914 |
| Mailing Telephone | 9043990350 |
| Mailing Fax Number | 9043995914 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386169787 | Ryan Funderburk | Chiropractor | 202 W Nc Highway 54 Ste 103, Durham, NC 27713-7564 | 2017-08-07 |
| Street Address |
10475 CENTURION PKWY N SUITE 303 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32256-5003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265438493 | James Douglas Green Jr. | Specialist | 10475 Centurion Pkwy N, Ste 303, Jacksonville, FL 32256-5003 | 2005-06-22 |
| 1285170282 | Kelli D. Williams | Physician Assistant | 10475 Centurion Pkwy N, Suite 104, Jacksonville, FL 32256-5003 | 2017-01-13 |
| 1275998908 | Se Orthopedic Specialists | Non-Pharmacy Dispensing Site | 10475 Centurion Pkwy N, Suite 220, Jacksonville, FL 32256-5003 | 2015-12-23 |
| 1821479650 | Kristen Edenfield | Audiologist | 10475 Centurion Pkwy N, #303, Jacksonville, FL 32256-5003 | 2015-06-17 |
| 1952789547 | Christopher Perez De Corcho | Physical Therapist | 10475 Centurion Pkwy N, #304, Jacksonville, FL 32256-5003 | 2015-05-14 |
| 1588059083 | Krista L Boniecki | Physical Therapist | 10475 Centurion Pkwy N, Suie 220, Jacksonville, FL 32256-5003 | 2015-04-01 |
| 1679970990 | Paul D Sturney | Physician Assistant | 10475 Centurion Pkwy N, Suite 220, Jacksonville, FL 32256-5003 | 2014-12-02 |
| 1326440801 | Healthcore Wellness, P.a. | Chiropractor | 10475 Centurion Pkwy N, Suite 201, Jacksonville, FL 32256-5003 | 2014-09-16 |
| 1902213770 | Tonya Goodson | Nurse Practitioner | 10475 Centurion Pkwy N, #203, Jacksonville, FL 32256-5003 | 2014-07-14 |
| 1265865398 | Lori Rakita | Audiologist | 10475 Centurion Pkwy N, Jacksonville, FL 32256-5003 | 2013-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
| 1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1982235859 | Sandra Josefina Baez Nunez | Nurse Practitioner | 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 | 2020-01-30 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1003479726 | Nichole Bashara | Behavior Technician | 8383 Baymeadows Rd, Jacksonville, FL 32256 | 2019-04-18 |
| Find all providers in zip 32256 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1417464538 | Staverman Hearing Centers, LLC | Audiologist | 12276 San Jose Blvd Ste 710, Jacksonville, FL 32223-8674 | 2018-01-10 |
| 1487171377 | Katherine Cardona | Audiologist | 10475 Centurion Parkway, N Suite 303, Jacksonville, FL 32256 | 2017-08-23 |
| 1144687658 | Kelly A. Eaton | Audiologist | 10475 Centurion Pkwy N Ste 300, Jacksonville, FL 32256-5004 | 2016-01-28 |
| 1134597016 | Lauren Dexter Miller | Audiologist | 2051 Art Museum Dr Ste 130, Jacksonville, FL 32207-2512 | 2015-09-09 |
| 1417200940 | Connect Hearing, Inc. | Audiologist | 4509 Saint Johns Ave, Suite 7, Jacksonville, FL 32210-1855 | 2012-10-22 |
| 1558619452 | Natalla Shonay Mccoy | Audiologist | 7119 Swamp Flower Dr N, Jacksonville, FL 32244-6157 | 2012-08-27 |
| 1811277288 | Katherine Michelle Lang | Audiologist | 7740 Point Meadows Dr Ste 7, Jacksonville, FL 32256-9180 | 2011-08-17 |
| 1184923559 | Karen Susan Kibbe | Audiologist | 6020 San Jose Blvd W, Jacksonville, FL 32217-2365 | 2011-03-24 |
| 1376848770 | Northland Hearing Centers, Inc. | Audiologist | 6020 San Jose Blvd, Suite 615, Jacksonville, FL 32217-2365 | 2011-01-14 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32256 |
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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.