Funda Renee Peete, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN.518314 Issued in OH

Practice address

4027 Helena Ave
Youngstown, OH 44512-1204

Phone

(330) 610-4813

NPI assigned

Mar 11, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1306304167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4027 HELENA AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445121204",
            "telephone_number": "337-770-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4027 HELENA AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445121204",
            "telephone_number": "330-610-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEETE",
        "first_name": "FUNDA",
        "middle_name": "RENEE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.169661.MEDS-IV",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.518314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shameka Peavy
• Pediatric Associates of Youngstown
• Pediatric Imaging Associates, LLC
• Pediatric Service Group
• Latonia Peeples
• Erica N Pegues, LPN
• Jamie Pekarcik
• Julia R Pemrich, LPN
• Ciara Penny
• Rosetta Marie Penson, RBT

• Registered Nurse in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.