Donna Marie Funcheon, RN

Primary specialty

Long-Term Care Clinical Nurse SpecialistTaxonomy code 364SL0600X

License

494378-1 Issued in NY

Practice address

256 Sunset Lake Rd
Liberty, NY 12754-2847

Phone

(845) 513-2012

Fax

(845) 513-2177

NPI assigned

Oct 18, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1104337039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 SUNSET LAKE RD",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127542847",
            "telephone_number": "845-513-2012",
            "fax_number": "845-513-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 SUNSET LAKE RD",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127542847",
            "telephone_number": "845-513-2012",
            "fax_number": "845-513-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNCHEON",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SL0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Long-Term Care",
            "state": "NY",
            "license": "494378-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Field
• Ann Marie Franklin, MSW
• Emily R. Friedman
• Tova Frost, MSW
• Andrew Fuller
• Susan Faith Furgison, RN
• Jamie S Gandulla, RN
• April Garcia, PTA
• Willan Smith Garcia, PT
• Kristin Kay Gardner, CASAC-T

• All providers in Liberty, NY
• Long-Term Care Clinical Nurse Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.