FUNSHO KING (NPI# 1417582727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417582727 |
| Entity Type | Individual |
| Full Name | FUNSHO KING |
| Practice Address |
6053 Hudson Rd Ste 200 Woodbury MN 55125-1000 |
| Practice Telephone | 6514107955 |
| Mailing Telephone | 6514107955 |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
7201 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6053 HUDSON RD STE 200 |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650302 | Leeanne Mccauley | Nurse Practitioner | 45 Euclid St # 200, Woodbury, NJ 08096-4631 | 2020-05-12 |
| 1043867534 | Morgan Borine | Nurse Practitioner | 576 Bielenberg Dr Ste 180, Woodbury, MN 55125-1736 | 2019-08-20 |
| 1942723143 | Elvis Tambi Starllone | Nurse Practitioner | 6053 Hudson Rd Ste 220, Woodbury, MN 55125-1000 | 2017-07-19 |
| 1013152651 | Monica Rosenbaum | Nurse Practitioner | 18 Nome Dr, Woodbury, NY 11797-3405 | 2008-12-11 |
| 1720606379 | April Starllone | Nurse Practitioner | 6053 Hudson Rd Ste 220, Woodbury, MN 55125-1000 | 2020-07-09 |
| 1205466463 | Elizabeth Storm | Nurse Practitioner | 1811 Weir Dr Ste 270, Woodbury, MN 55125-6741 | 2020-01-16 |
| 1952958027 | James Osei | Nurse Practitioner | 1811 Weir Dr Ste 270, Woodbury, MN 55125-6741 | 2019-08-22 |
| 1942766019 | Nyamudou Francess Hamza | Nurse Practitioner | 1811 Weir Dr Ste 270, Woodbury, MN 55125-6741 | 2019-02-14 |
| 1447755814 | Better Outlook LLC | Nurse Practitioner | 6053 Hudson Rd Ste 220, Woodbury, MN 55125-1000 | 2018-03-28 |
| 1720533342 | Emunah Arak Rankin | Nurse Practitioner | 1811 Weir Dr, Suite 270, Woodbury, MN 55125-2272 | 2016-08-24 |
| Find all providers in WOODBURY | ||||
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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.