SABRINA L FUNK (NPI# 1831731272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831731272 |
| Entity Type | Individual |
| Full Name | SABRINA L FUNK |
| Credential | AGACNP |
| Practice Address |
2600 6th St Sw Canton OH 44710-1702 |
| Mailing Address |
129 Bedrock Rd Nw Dellroy OH 44620-9716 |
| Practice Telephone | 3303632501 |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
RN.342068 | OH | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APRN.CNP.025733 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2600 6TH ST SW |
| City | CANTON |
| State | OH |
| Zip Code | 44710-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700885142 | Michael W Soehnlen | Radiology | 2600 6th St Sw, Radiology Associates of Canton, Inc., Canton, OH 44710-1702 | 2005-07-19 |
| 1881295475 | Gina Marie Shaffo | Registered Nurse | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-11-02 |
| 1427659051 | Heidi Lynn Martinez | Registered Nurse | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-11-02 |
| 1215537907 | Travis Paul Gray | Nurse Anesthetist, Certified Registered | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-10-30 |
| 1780284430 | Kelly Marie Mason | Nurse Anesthetist, Certified Registered | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-10-30 |
| 1003414624 | Annie Shelton | Registered Nurse | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-10-15 |
| 1982202511 | Sean D Myer | Registered Nurse | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-10-15 |
| 1366049215 | Molly Rose Kathleen Davis | Registered Nurse | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-10-05 |
| 1578177192 | Vyshnavi Iswaravaka | Student in an Organized Health Care Education/Training Program | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-09-01 |
| 1124638705 | Varun Victor | Student in an Organized Health Care Education/Training Program | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093219024 | Philip Anthony Femano IIi | Student in an Organized Health Care Education/Training Program | Amanda Fouts; Medical Education, 2600 6th St Sw, Canton, Oh 44710, Canton, OH 44710 | 2018-03-23 |
| 1962949883 | Chauntelle Andrews | Nursing Care | 3210 14th St Sw, Canton, OH 44710 | 2017-01-30 |
| 1770032146 | Tammy Lamotte | Registered Nurse | 3302 11th St Sw, Canton, OH 44710 | 2016-09-27 |
| 1861898280 | Heather Nicole Burrier | Registered Nurse | 2823 9th St. Sw, Cedar School, Canton, OH 44710 | 2014-11-12 |
| 1437569688 | Kameika Thomas | Licensed Practical Nurse | 2704 9th St Sw, Canton, OH 44710 | 2014-04-28 |
| 1578836672 | Julie J Marsh | Dietitian, Registered | Aultman Hospital, 2600 Sixth Street Sw, Canton, OH 44710 | 2012-02-21 |
| 1043444649 | Laurie L Hanne | Internal Medicine | 2600 6th St.sw, Canton, OH 44710 | 2009-05-11 |
| 1164664124 | George Papacostas, LLC | General Acute Care Hospital | 2600 6th Street Sw, Aultman Wound Care Center, Canton, OH 44710 | 2009-04-06 |
| 1598904419 | Donna Fall Blackwell | Nurse Practitioner | 2600 6th Street, Canton, OH 44710 | 2009-02-17 |
| 1013012897 | Daniel Wasdahl | Pathology | 2600 6th St, Canton, OH 44710 | 2006-09-14 |
| Find all providers in zip 44710 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872965 | Gagan Preet Kaur Dhaliwal | Nurse Practitioner | 45418 Glengarry Blvd, Canton, MI 48188-3001 | 2020-05-07 |
| 1295387066 | Amber Dabelstein | Nurse Practitioner | 6131 Fairborn Dr, Canton, MI 48187-5624 | 2019-07-11 |
| 1619533536 | Murshed Nawaz | Nurse Practitioner | 543 Foster St, Canton, TX 75103-1905 | 2019-05-15 |
| 1871018903 | James Adam Carr | Nurse Practitioner | 6613 Chadwick Dr, Canton, MI 48187-1639 | 2017-08-09 |
| 1699296871 | Marcelina Reyes Socie | Nurse Practitioner | 2050 N Haggerty Rd Ste 100, Canton, MI 48187-3796 | 2017-06-28 |
| 1427418409 | Telehealthone, LLC | Nurse Practitioner | 1301 East Peace Street, Canton, MS 39046-7900 | 2016-03-03 |
| 1730788647 | Gwendolyn Shumaker | Nurse Practitioner | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-10-21 |
| 1316553175 | Victoria Watt | Nurse Practitioner | 1320 Mercy Dr Nw, Canton, OH 44708-2641 | 2020-09-17 |
| 1164077434 | Chetna Patel | Nurse Practitioner | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2019-08-05 |
| 1811557515 | Sara M Fichter | Nurse Practitioner | 1320 Mercy Dr Nw, Canton, OH 44708-2641 | 2019-06-17 |
| Find all providers in CANTON | ||||
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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.