MRS. RENEE LINDA FUNK (NPI# 1346216512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346216512 |
| Entity Type | Individual |
| Full Name | MRS. RENEE LINDA FUNK |
| Credential | PAC |
| Practice Address |
1406 6th Ave N St Cloud MN 56303-1901 |
| Mailing Address |
1406 6th Ave N Saint Cloud MN 56303-1900 |
| Practice Telephone | 3202555656 |
| Practice Fax Number | 3206542044 |
| Mailing Telephone | 3202555657 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9385 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1406 6TH AVE N |
| City | ST CLOUD |
| State | MN |
| Zip Code | 56303-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588743561 | Michael S Currie | Nurse Anesthetist, Certified Registered | 1406 6th Ave N, St Cloud, MN 56303 | 2006-11-02 |
| 1639285596 | Masahiko Sato | Marriage & Family Therapist | 1406 6th Ave N, St Cloud Hospital - Recovery Plus, St Cloud, MN 56303 | 2006-08-22 |
| 1245267566 | Gregory A Schlosser | Physical Medicine & Rehabilitation | 1406 6th Ave N, St Cloud, MN 56303-1900 | 2006-06-26 |
| 1992755052 | Jon C Bowar | Psychiatry & Neurology | 1406 6th Ave N, St Cloud, MN 56303 | 2006-05-11 |
| 1720038714 | Mark Irvin Holub | Psychiatry & Neurology | 1406 6th Ave N, St Cloud, MN 56303 | 2006-05-11 |
| 1699724104 | Cynthia A Sandberg | Nurse Practitioner | 1406 6th Ave N, St Cloud, MN 56303 | 2006-05-10 |
| 1245206291 | Debra S Lalley | Registered Nurse | 1406 6th Ave N, St Cloud Hospital Behavioral Health Clinic, St Cloud, MN 56303 | 2006-02-28 |
| 1770559148 | Mark Elmer Hoffmann | Emergency Medicine | 1406 6th Ave N, St Cloud Hospital Emergency Trauma Center, St Cloud, MN 56301 | 2006-02-27 |
| 1881660306 | David Lee Frederickson | Emergency Medicine | 1406 6th Ave N, St Cloud, MN 56303-1901 | 2006-02-24 |
| 1831165604 | Jeffrey Carl Windschitl | Emergency Medicine | 1406 6th Ave N, St Cloud, MN 56303-1901 | 2006-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508112178 | Jennifer Nicole Irlbeck | Physician Assistant | Centracare Clinic Adult and Pediatric Urology, 2351 Connecticut Avenue South #200, St Cloud, MN 56303-2477 | 2012-08-01 |
| 1689983785 | Meghan Eleanor Webber | Physician Assistant | 1900 Centra Care Cir #2425, Health Plaza/neurosurgery, St Cloud, MN 56303-5000 | 2010-10-07 |
| 1689723629 | Jenifer Karen Detert | Physician Assistant | Central Minnesota Emergency Physicians, 1406 6th Avenue North, St Cloud, MN 56303-1901 | 2007-01-09 |
| 1265524136 | Gina Marie Wippler | Physician Assistant | 1555 Northway Drive #100, Centracare Clinic Northway Family Medicine, St Cloud, MN 56303-1258 | 2006-09-29 |
| 1912998873 | Melissa A Chapman | Physician Assistant | 1406 6th Avenue North, St Cloud Hospital, St Cloud, MN 56303-1901 | 2005-10-31 |
| 1063870046 | Rebecca Ann Hukriede | Physician Assistant | 251 County Rd 120, St Cloud, MN 56303-4872 | 2016-02-04 |
| 1093120131 | Courtney Lynn Brever | Physician Assistant | 1200 Sixth Ave N, St Cloud, MN 56303-2735 | 2014-06-27 |
| 1205189321 | Nellie Lynn Gabrielson | Physician Assistant | 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735 | 2012-10-26 |
| 1669729190 | Ashley Marie Sherry | Physician Assistant | 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735 | 2012-08-15 |
| 1639468671 | Alyssa Nicole Brimhall | Physician Assistant | 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735 | 2011-03-30 |
| Find all providers in ST CLOUD | ||||
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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.