Active NPI
Kimberly Funte, M.ED.
- Contractor
- McDonough, GA
National Provider Identifier
1457847626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 1835 Rest Haven LN
McDonough, GA 30253-9033 - Phone
- (678) 234-3179
- NPI assigned
- Jul 10, 2018
- Last updated
- Jul 10, 2018
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | NU | Primary |
Addresses
Primary practice location
1835 Rest Haven LN
McDonough, GA 30253-9033
Mailing address
1835 Rest Haven LN
McDonough, GA 30253-9033
Phone (678) 234-3179
Other practice location 1
1835 Rest Haven Ln
McDonough, GA 30253-9033
Phone (678) 234-3179
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
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1457847626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1835 REST HAVEN LN",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302539033",
"telephone_number": "678-234-3179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1835 REST HAVEN LN",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302539033",
"telephone_number": "678-234-3179"
}
],
"practiceLocations": [
{
"address_1": "1835 Rest Haven Ln",
"address_purpose": "LOCATION",
"city": "McDonough",
"state": "GA",
"postal_code": "302539033",
"country_code": "US",
"telephone_number": "678-234-3179",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUNTE",
"first_name": "KIMBERLY",
"credential": "M.ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-10",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McDonough, GA
- Fresenius Medical Care McDonough, LLC (Fresenius Kidney Care McDonough)
- Jhenelle Fuller, DC
- Sharon Fuller
- Fullfeel Care & Concierge LLC
- Functions Healthcare Services LLC
- Jamila M Furtch, LPC
- Joi Fuss, N.P.
- G.R. Foster III D.M.D. P.C.
- Ga Dentistry Services PC (Aspen Dental)
- Ga Doctors of Optometry LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.