Chacie Marie Funderburk, BSN, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

915708 Issued in MS

Practice address

404 N Gloster St
Tupelo, MS 38804-3626

Phone

(662) 542-3444

NPI assigned

Oct 7, 2026

Last updated

Oct 7, 2026By the provider in NPPES

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

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

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1225932569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 COUNTY ROAD 641",
            "city": "BALDWYN",
            "state": "MS",
            "postal_code": "388249093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388043626",
            "telephone_number": "662-542-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNDERBURK",
        "first_name": "CHACIE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "915708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Danielle Fugett
• Leslie Fugett, LMSW
• Relda Fugitt
• Joshua Campbell Fulwiler, PHD
• Functional Therapy Center, Inc.
• Mary Gadus, FNP
• Shelley A Gaggini, DIETITIAN
• Kendal Gaines
• Christian Gallo Rios, RBT
• Brian Joseph Galloway, LPC

• Registered Nurse in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.