JAMIE TAYLOR NICOLE FUNK (NPI# 1588283238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588283238 |
| Entity Type | Individual |
| Full Name | JAMIE TAYLOR NICOLE FUNK |
| Credential | MD |
| Practice Address |
1701 W Charleston Blvd Ste 290 Las Vegas NV 89102-2302 |
| Practice Telephone | 7026712385 |
| Mailing Telephone | 7026712385 |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2020-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649684853 | Jamie Funk | Counselor | 124 E Baltimore St, Hagerstown, MD 21740-6104 | 2014-06-16 |
| 1073719431 | Jamie Funk | Registered Nurse | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 | 2007-06-22 |
| Street Address |
1701 W CHARLESTON BLVD STE 290 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255361739 | James M Alexander Jr. | Medical Genetics | 1701 W Charleston Blvd Ste 290, Las Vegas, NV 89102 | 2006-07-03 |
| 1194344937 | Kendall Marshall | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 290, Las Vegas, NV 89102-2302 | 2020-04-12 |
| 1396374633 | Sarah Royle | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 290, Las Vegas, NV 89102-2302 | 2020-04-08 |
| 1154958726 | Alyssa Marie Stiff | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 290, Las Vegas, NV 89102-2302 | 2020-03-24 |
| 1417583444 | Lizbeth Lorena Perez Rodriguez | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 290, Las Vegas, NV 89102-2302 | 2020-03-21 |
| 1649833864 | Mckenna Jamison Geary | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 290, Las Vegas, NV 89102-2302 | 2019-04-15 |
| 1346703477 | Amanda Allen | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 290, Las Vegas, NV 89102-2302 | 2019-04-06 |
| 1316407836 | Zachary Steven Selzler | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 290, Las Vegas, NV 89102-2302 | 2019-03-21 |
| 1770042053 | Jacqueline Marie Jacobs | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 290, Las Vegas, NV 89102-2302 | 2019-03-18 |
| 1609372549 | Paul Yo Smithedajkul | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 290, Las Vegas, NV 89102-2302 | 2018-03-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851906440 | David Hernandez | Student in an Organized Health Care Education/Training Program | 1510 Grape Arbor Way, Las Vegas, NV 89142-0669 | 2020-09-10 |
| 1710591110 | Jessica Celestino | Student in an Organized Health Care Education/Training Program | 6167 Allen Cove Ct, Las Vegas, NV 89148-1799 | 2020-09-02 |
| 1972127314 | Toyokazu Endo | Student in an Organized Health Care Education/Training Program | 2040 W Charleston Blvd Fl 3, Las Vegas, NV 89102-2227 | 2020-06-01 |
| 1962025775 | William Taylor Gravley | Student in an Organized Health Care Education/Training Program | 1510 Ruby Cliffs Ln Unit 204, Las Vegas, NV 89144-7015 | 2020-05-27 |
| 1477174449 | Vishnu Halthore | Student in an Organized Health Care Education/Training Program | 2152 Turquoise Ridge St Unit 205, Las Vegas, NV 89117-5972 | 2020-05-01 |
| 1417576869 | Jesus Mendez Jr. | Student in an Organized Health Care Education/Training Program | 10962 Pentland Downs St, Las Vegas, NV 89141-3997 | 2020-04-15 |
| 1124657333 | Daniel Gerardo Arias | Student in an Organized Health Care Education/Training Program | 700 Shadow Ln Ste 400, Las Vegas, NV 89106-4159 | 2020-04-08 |
| 1659900959 | Connor Wayman | Student in an Organized Health Care Education/Training Program | 6655 S Cimarron Rd, Las Vegas, NV 89113-2180 | 2020-04-07 |
| 1700413887 | Sameera Baig | Student in an Organized Health Care Education/Training Program | 2880 N. Tenaya Way, Las Vegas, NV 89128-0431 | 2020-03-26 |
| 1457988537 | Wesley Washington Yim | Student in an Organized Health Care Education/Training Program | 657 N Town Center Dr Ofc, Las Vegas, NV 89144-6367 | 2020-03-26 |
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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.