Diane Elaine Funk, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71001509A Issued in IN

Practice address

8301 Harcourt Rd
Radiation Oncology Dept, Ste 100
Indianapolis, IN 46260-2081

Phone

(317) 415-6783

Fax

(317) 415-6758

NPI assigned

Aug 22, 2007

Last updated

Mar 7, 2023By 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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1396938429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 W 96TH ST",
            "address_2": "SUITE 125",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462786005",
            "telephone_number": "317-715-1800",
            "fax_number": "317-715-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 HARCOURT RD",
            "address_2": "RADIATION ONCOLOGY DEPT, STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602081",
            "telephone_number": "317-415-6783",
            "fax_number": "317-415-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "DIANE",
        "middle_name": "ELAINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001509A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000864920",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201216930",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN CSR",
            "identifier": "71001509B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colette Fults, EDS, MS, LMHC
• Macie Nichole Fultz, RBT
• Levi Funches Jr., M.D.
• Linda A Fundenberger, MD
• Adam Joseph Funk
• Jenna Funk, M.A., CCC-SLP
• Jennifer Funk, RN
• Julie Funk, PT, MS
• Julie Hornbach Funk, PA
• Shelby Anne Funk

• Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.