Individual provider Active NPI

Harleigh Allyn Funderburk, PA-C

  • Physician Assistant
  • Temple, TX
National Provider Identifier
1346166741
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
5570 Kegley Place LN Ste 102
Temple, TX 76502-7404
Phone
(254) 231-0023
NPI assigned
Jun 29, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TX Primary

Addresses

Primary practice location

5570 Kegley Place LN Ste 102
Temple, TX 76502-7404

Mailing address

1627 Eagle Bluff Dr
Troy, TX 76579-3338
Phone (254) 231-9499

Other practice location 1

9110 Jordan Ln
Woodway, TX 76712-3347
Phone (254) 300-6737

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

NPI Registry JSON

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1346166741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 EAGLE BLUFF DR",
            "city": "TROY",
            "state": "TX",
            "postal_code": "765793338",
            "telephone_number": "254-231-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 KEGLEY PLACE LN STE 102",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765027404",
            "telephone_number": "254-231-0023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9110 Jordan Ln",
            "address_purpose": "LOCATION",
            "city": "Woodway",
            "state": "TX",
            "postal_code": "767123347",
            "country_code": "US",
            "telephone_number": "254-300-6737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNDERBURK",
        "first_name": "HARLEIGH",
        "middle_name": "ALLYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.