COLTON FUNK (NPI# 1942659040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942659040 |
| Entity Type | Individual |
| Full Name | COLTON FUNK |
| Practice Address |
405 Emmet St Charlottesville VA 22904 |
| Mailing Address |
2218 Spring Creek Rd Rhinelander WI 54501 |
| Practice Telephone | 7154901835 |
| Mailing Telephone | 7154901835 |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | VA | Student, Health Care |
| Street Address |
405 EMMET ST |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306052337 | Leah Joy Frommer | Specialist/Technologist | 300 Massie Road, Mccue Center, Rm. 112, Charlottesville, VA 22904 | 2007-05-15 |
| 1770601288 | Jeffrey Scott Boyer | Specialist/Technologist | 290 Massie Road, University of Virginia Mccue Center, Charlottesville, VA 22904 | 2007-03-26 |
| 1063475051 | Lindsay Kay Drewes | Specialist/Technologist | 290 Massie Rd, Charlottesville, VA 22904 | 2006-04-10 |
| 1619118270 | Alexis Davis | Specialist/Technologist | 290 Massie Road, Mccue Center Room 112, Charlottesville, VA 22904 | 2009-03-11 |
| 1316187123 | Rebecca Coyle Berthold | Specialist/Technologist | 290 Massie Road, Charlottesville, VA 22904 | 2009-03-06 |
| 1497961668 | Brian Mcguire | Physical Therapist | 290 Massie Road, Charlottesville, VA 22904 | 2007-05-15 |
| 1083736771 | Ethan Najeeb Saliba | Physical Therapist | University of Virginia Athletics, 290 Massie Road, Charlottesville, VA 22904-2290 | 2007-04-04 |
| 1336407311 | Randall R Robey | Speech-Language Pathologist | 417 Emmet St., S, Charlottesville, VA 22904-4260 | 2012-04-27 |
| 1013269752 | Tristen Leigh Wood | Speech-Language Pathologist | 417 Emmet Street, South, Charlottesville, VA 22904-4260 | 2012-10-04 |
| 1346592086 | Lauren Kravetz Bonnet | Speech-Language Pathologist | 417 Emmet Street, South, Charlottesville, VA 22904-4260 | 2012-10-04 |
| Find all providers in zip 22904 | ||||
| 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 |
|---|---|---|---|---|
| 1477160158 | Mohamed Zaghloul Bayoumy Aly Hussein | Student in an Organized Health Care Education/Training Program | 2145 Inglewood Dr Apt 315, Charlottesville, VA 22901-2790 | 2020-09-28 |
| 1952917809 | Randi Woodard | Student in an Organized Health Care Education/Training Program | 1013 Linden Ave Apt O, Charlottesville, VA 22902-9022 | 2020-09-16 |
| 1023628583 | Robert Anderson Buchanan | Student in an Organized Health Care Education/Training Program | 1215 Lee St # 800672, Charlottesville, VA 22908-0816 | 2020-08-08 |
| 1083224307 | Peter Zvarych Fraser-morris | Student in an Organized Health Care Education/Training Program | 1215 Lee St Box # 800672, Charlottesville, VA 22908-0816 | 2020-08-01 |
| 1063032449 | Juan Tomas Santiago | Student in an Organized Health Care Education/Training Program | 1215 Lee St Box #800699, Charlottesville, VA 22908-0816 | 2020-04-25 |
| 1043839913 | Alexandra Lilly Deal | Student in an Organized Health Care Education/Training Program | 1215 Lee Street Mail Stop 800376, Charlottesville, VA 22908-0816 | 2020-04-10 |
| 1154950467 | Lawal A Labaran | Student in an Organized Health Care Education/Training Program | 1215 Lee St Box # 801016, Charlottesville, VA 22908-0816 | 2020-04-07 |
| 1881222776 | Monica Mary Matsumoto | Student in an Organized Health Care Education/Training Program | 3302 Rosebud Ln, Charlottesville, VA 22903-9348 | 2020-03-28 |
| 1265060248 | Brittany Nicole Heck | Student in an Organized Health Care Education/Training Program | 630 Cabell Ave Apt E, Charlottesville, VA 22903-2032 | 2020-03-27 |
| 1720615719 | Olivia Kerebi Ondigi | Student in an Organized Health Care Education/Training Program | 1215 Lee Street Mailing Stop 800744, Charlottesville, VA 22908-0816 | 2020-03-27 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22904 |
Please comment or provide details below to improve the information on COLTON 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.