JESSICA FUNDIN (NPI# 1518421262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518421262 |
| Entity Type | Individual |
| Full Name | JESSICA FUNDIN |
| Credential | LPN |
| Practice Address |
4305 E Trent Ave Spokane WA 99212-2339 |
| Practice Telephone | 5097953133 |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LP60770529 | WA | Nursing Service Providers |
| Street Address |
4305 E TRENT AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99212-2339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831664051 | David P Robinson | Counselor | 4305 E Trent Ave, Spokane, WA 99212-2339 | 2018-10-04 |
| 1437768579 | Joey Dean Faris | Counselor | 4305 E Trent Ave, Spokane, WA 99212-2339 | 2020-07-24 |
| 1265063770 | Quinton Nigel Tucker | Licensed Practical Nurse | 4305 E Trent Ave, Spokane, WA 99212-2339 | 2020-02-03 |
| 1891326302 | Martha Ripley | Licensed Practical Nurse | 4305 E Trent Ave, Spokane, WA 99212-2339 | 2020-02-03 |
| 1194356105 | Kayla Oberender | Counselor | 4305 E Trent Ave, Spokane, WA 99212-2339 | 2020-01-29 |
| 1811544323 | Daniel Marte | Counselor | 4305 E Trent Ave, Spokane, WA 99212-2339 | 2019-08-20 |
| 1700343274 | Amanda Lee Allen | Licensed Practical Nurse | 4305 E Trent Ave, Spokane, WA 99212-2339 | 2019-02-21 |
| 1750848172 | Eric William Exner | Counselor | 4305 E Trent Ave, Spokane, WA 99212-2339 | 2019-02-21 |
| 1437629193 | Lori Lee Krahn | Counselor | 4305 E Trent Ave, Spokane, WA 99212-2339 | 2018-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750889580 | Melissa Lerai Lunsford | Massage Therapist | 1212 N Argonne Rd, Spokane Valley, WA 99212 | 2018-01-26 |
| 1225558539 | Paul James Hammerschmidt | Licensed Practical Nurse | 5600 E. 8th Avenue, Spokane Valley, WA 99212 | 2017-06-27 |
| 1497009302 | Ray A Schoessler | Pharmacist | 9009 E Trent Ave, Spokane, WA 99212 | 2012-10-30 |
| 1215205224 | Wchs Inc | Counselor | 4305 East Trent Avenue, Spokane, WA 99212 | 2011-12-05 |
| 1609159466 | Andrey V Altukhov | Specialist | 906 S. Park Rd, Spokane Valley, WA 99212 | 2011-09-27 |
| 1215189808 | Providence Health & Services - Wa | Home Health | 1000 N Argonne Rd, Spokane Valley, WA 99212 | 2008-10-15 |
| 1568674414 | Colleen Kirsten Monroe | Pharmacist | 5601 E Sprague, Spokane, WA 99212 | 2007-05-04 |
| 1205968534 | Jeremiah Michael Stevens | Naturopath | 1510 N Argonne Rd Ste G, Spokane Valley, WA 99212 | 2007-03-12 |
| 1104957547 | Lyudmila Larkin | Specialist | 8120 E. Vista Lane, Spokane, WA 99212 | 2007-03-08 |
| 1972613511 | Costco Wholesale Corporation | Pharmacy | 5601 E Sprague Ave, Spokane Valley, WA 99212 | 2006-08-30 |
| Find all providers in zip 99212 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982239281 | Angel Charyes Delgado | Licensed Practical Nurse | 44 E Cozza Dr, Spokane, WA 99208-6514 | 2020-03-06 |
| 1265063770 | Quinton Nigel Tucker | Licensed Practical Nurse | 4305 E Trent Ave, Spokane, WA 99212-2339 | 2020-02-03 |
| 1891326302 | Martha Ripley | Licensed Practical Nurse | 4305 E Trent Ave, Spokane, WA 99212-2339 | 2020-02-03 |
| 1003466855 | Tina M Coogler | Licensed Practical Nurse | 44 E Cozza Dr, Spokane, WA 99208-6514 | 2019-09-13 |
| 1275195323 | Linda Jo Abbey | Licensed Practical Nurse | 44 E Cozza Dr, Spokane, WA 99208-6514 | 2019-06-28 |
| 1326609512 | Cinda Andrus | Licensed Practical Nurse | 44 E Cozza Dr, Spokane, WA 99208-6514 | 2019-06-27 |
| 1700343274 | Amanda Lee Allen | Licensed Practical Nurse | 4305 E Trent Ave, Spokane, WA 99212-2339 | 2019-02-21 |
| 1609348838 | Kristine M Camp | Licensed Practical Nurse | 44 E Cozza Dr, Spokane, WA 99208-6514 | 2018-12-28 |
| 1134690050 | George A Gillis | Licensed Practical Nurse | 44 E Cozza Dr, Spokane, WA 99208-6514 | 2018-12-17 |
| 1356813216 | Sheri D Miles | Licensed Practical Nurse | 44 E Cozza Dr, Spokane, WA 99208-6514 | 2018-12-17 |
| Find all providers in SPOKANE | ||||
Please comment or provide details below to improve the information on JESSICA FUNDIN.
| 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.