Active NPI
Latricia Funches, RN
- Registered Nurse
- Phoenix, AZ
National Provider Identifier
1336909373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN199069
- Practice address
- 2806 W Cactus Rd
Phoenix, AZ 85029-3364 - Phone
- (602) 607-4700
- NPI assigned
- Mar 19, 2024
- Last updated
- Mar 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN199069 | AZ | Primary |
Addresses
Primary practice location
2806 W Cactus Rd
Phoenix, AZ 85029-3364
Mailing address
8444 N 90TH St Ste 100
Scottsdale, AZ 85258-4437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN199069 | AZ | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1336909373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8444 N 90TH ST STE 100",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2806 W CACTUS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850293364",
"telephone_number": "602-607-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNCHES",
"first_name": "LATRICIA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-19",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN199069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Lisa Marie Fuller, OTR/L
- Misty Marie Fullerton, D.C.
- Jonathan Daniel Fullner, M.D.
- Samaiyah Fullylove
- Shane Amour Fulton, CNA , MD
- Yvonne Maria Funcke, MD
- Function First Psychiatry
- Functional Futures, LLC (Purposefully Home, LLC)
- Functional Health Systems S.C. (Paradise Village Chiropractic Center)
- Functional Investments, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.