JAN J FUNK (NPI# 1508973439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508973439 |
| Entity Type | Individual |
| Full Name | JAN J FUNK |
| Credential | APRN, BC |
| Practice Address |
730 Fairview Ave Ste A8 Bowling Green KY 42101-2383 |
| Practice Telephone | 2707962550 |
| Mailing Telephone | 2707962550 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2016-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
3007542 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 289840099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578659959 | Jan M Funk | Physical Therapist | 2660 Sw 3rd St, Topeka, KS 66606-2458 | 2006-10-05 |
| Street Address |
730 FAIRVIEW AVE STE A8 |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42101-2383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1205476561 | Emily Nell Conner | Pharmacist | 350 West Us 31 Bypass, Bowling Green, KY 42101 | 2020-01-14 |
| 1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
| 1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
| 1275182255 | The Kidz Club-pdn, LLC | Nursing Care | 1537 Highway 185, Suite 3, Bowling Green, KY 42101 | 2019-09-11 |
| 1841756525 | Balance Therapeutic Care, Counseling Services LLC | Counselor | 661 A, 31-w Bypass, Bowling Green, KY 42101 | 2019-02-18 |
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1205364411 | Amanda Katherin Walden | Dentist | 725 A Kenton Street, Bowling Green, KY 42101 | 2017-06-01 |
| 1932632098 | Tj & L Consulting, LLC | In Home Supportive Care | 661 Us 31w By-pass, Suite G, Bowling Green, KY 42101 | 2017-04-06 |
| 1265974117 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1473 Kentucky Street, Bowling Green, KY 42101 | 2016-11-09 |
| Find all providers in zip 42101 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083951164 | Psychiatric Center Inc | Clinical Nurse Specialist | 1330 S Mayo Trl Ste 301, Pikeville, KY 41501-2321 | 2013-01-10 |
| 1689725798 | Bonnie J. French | Clinical Nurse Specialist | 320 Joan Ave, Elizabethtown, KY 42701-2242 | 2007-01-15 |
| 1073634341 | Psychiatric Center Inc. | Clinical Nurse Specialist | 1330 S Mayo Trl, Nova Complex Suite 301, Pikeville, KY 41501-2321 | 2007-04-03 |
| 1063565208 | Hilario Ambrosio Pascua | Clinical Nurse Specialist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2007-01-19 |
| 1205918224 | Katrena Blackwell | Clinical Nurse Specialist | 739 North Dr, Hopkinsville, KY 42240-2620 | 2006-10-19 |
| 1609977800 | Mary C Ozinga | Clinical Nurse Specialist | 20 Medical Village Dr, Suite 107, Edgewood, KY 41017-5401 | 2006-09-26 |
| 1760442263 | Patricia Webb Smith | Clinical Nurse Specialist | 229 W Walnut St, Mayfield, KY 42066-2223 | 2006-03-27 |
| City | BOWLING GREEN |
| Zip Code | 42101 |
Please comment or provide details below to improve the information on JAN J FUNK.
| 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.