Active NPI
Donna Margaret Funk, CRNA
- Certified Registered Nurse Anesthetist
- Olympia, WA
National Provider Identifier
1417250796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 027975CRNARN00098041
- Practice address
- 3425 Ensign Rd. NE Suite 310
South Sound Oral Surgery Ensign Medical Center
Olympia, WA 98506 - Phone
- (360) 456-5678
- Fax
- (360) 456-1238
- NPI assigned
- Dec 8, 2010
- Last updated
- Dec 8, 2010
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 027975CRNARN00098041 | WA | Primary |
Addresses
Primary practice location
3425 Ensign Rd. NE Suite 310
South Sound Oral Surgery Ensign Medical Center
Olympia, WA 98506
Mailing address
3425 Ensign Rd. NE Suite 310
South Sound Oral Surgery Ensign Medical Center
Olympia, WA 98506
Phone (360) 456-5678
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027975CRNARN00098041 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Sound Oral Surgery PLLC | Past | Accepting new patients | |
| South Sound Ambulatory Surgery Center, PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Olympia, WA
- NPI 1487183000
-
- Oral and Maxillofacial Surgery (Dentist)
- Olympia, WA
- NPI 1407944614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291766400000",
"number": "1417250796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 ENSIGN RD. NE SUITE 310",
"address_2": "SOUTH SOUND ORAL SURGERY ENSIGN MEDICAL CENTER",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "98506",
"telephone_number": "360-456-5678",
"fax_number": "360-456-1238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 ENSIGN RD. NE SUITE 310",
"address_2": "SOUTH SOUND ORAL SURGERY ENSIGN MEDICAL CENTER",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "98506",
"telephone_number": "360-456-5678",
"fax_number": "360-456-1238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNK",
"first_name": "DONNA",
"middle_name": "MARGARET",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-08",
"last_updated": "2010-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "027975CRNARN00098041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.