MEACHELLE ELAINE-SHEPHARD FUNK (NPI# 1497157564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497157564 |
Entity Type | Individual |
Full Name | MEACHELLE ELAINE-SHEPHARD FUNK |
Credential | FNP-BC |
Practice Address |
900 Cooper Ave Ste 3100 Saginaw MI 48602-5182 |
Practice Telephone | 9895837450 |
Practice Fax Number | 9895837452 |
Mailing Telephone | 9895837450 |
Mailing Fax Number | 9895837452 |
Enumeration Date | 2014-09-20 |
Last Update Date | 2015-04-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 4704199639 | MI | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704199639 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
900 COOPER AVE STE 3100 |
City | SAGINAW |
State | MI |
Zip Code | 48602-5182 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013254101 | Heidi Richards | Nurse Practitioner | 900 Cooper Ave Ste 3100, Saginaw, MI 48602-5182 | 2013-01-09 |
1437766136 | Jillian Hope Sipes | Nurse Practitioner | 900 Cooper Ave Ste 3100, Saginaw, MI 48602-5182 | 2020-09-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
1871110726 | Quinn Murphy Ameel | Student in an Organized Health Care Education/Training Program | Cmed 1632 Stone St., Saginaw, MI 48602 | 2020-06-26 |
1730713322 | Abiola A Alaka | Student in an Organized Health Care Education/Training Program | 314 N Hamilton St, Saginaw, MI 48602 | 2020-02-24 |
1598235137 | Summer Dawn Broekhof | Speech-Language Pathologist | 515 N. Michigan, Saginaw, MI 48602 | 2018-11-27 |
1811486293 | Barbara Jean Hall | Physical Therapy Assistant | 500 S Hamilton, Saginaw, MI 48602 | 2018-05-01 |
1053808519 | Cst Counseling and Transitional Services Inc | Social Worker | 120 N Michigan Ave Ste 207, Saginaw, MI 48602 | 2018-04-19 |
1801325246 | Moregan Rose Lamarr | Social Worker | 304 South Niagara St, Saginaw, MI 48602 | 2017-06-08 |
1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
1831622109 | Brooke Vitale | Technician, Other | 1300 N. Michigan, Autism Plus, Saginaw, MI 48602 | 2017-04-04 |
1215387576 | Dorthia Eggleston | Specialist | 1203 Gratiot, Saginaw, MI 48602 | 2016-06-17 |
Find all providers in zip 48602 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629676754 | Toni Dorsett Fnp-c, Pllc | Nurse Practitioner | 200 Wj Boaz Rd Ste 200, Saginaw, TX 76179-1291 | 2020-10-12 |
1366067100 | Ariele Williams | Nurse Practitioner | 2475 Midland Rd Ste 2, Saginaw, MI 48603-8005 | 2020-06-08 |
1649818204 | Dawn Jeanine Benard | Nurse Practitioner | 727 W Bailey Boswell Rd, Saginaw, TX 76179-1011 | 2019-12-13 |
1881238517 | Cynthia C Evans | Nurse Practitioner | 4705 Towne Centre Rd Ste 102, Saginaw, MI 48604-2820 | 2019-11-06 |
1760959431 | Judith Chepkemboi Yego | Nurse Practitioner | 4701 Towne Centre Rd Ste 203, Saginaw, MI 48604-2833 | 2018-10-30 |
1215404413 | Abraham Kipkogei Kimeli | Nurse Practitioner | 4713 State St, Saginaw, MI 48603-3808 | 2018-10-26 |
1720554363 | Joshua Leonard | Nurse Practitioner | 857 S Miller Rd, Saginaw, MI 48609-5181 | 2018-10-22 |
1215467782 | Bonnie Baxter | Nurse Practitioner | 5400 Mackinaw Rd Ste 4200, Saginaw, MI 48604-9533 | 2017-06-15 |
1881084903 | Hannah Jane Cramton | Nurse Practitioner | 600 Irving Ave., Saginaw, MI 48602 | 2015-01-27 |
1114356490 | Amanda Lynn Atha | Nurse Practitioner | 3400 N Center Rd Ste 100, Saginaw, MI 48603-7920 | 2013-11-06 |
Find all providers in SAGINAW |
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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.