Active NPI
Elizabeth A. Funk, M.D., MPH
- Internal Medicine Physician
- Anchorage, AK
National Provider Identifier
1477879393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 3486
- Practice address
- 3300 Providence Drive, B Tower, Suite 314
Providence Senior Care Center
Anchorage, AK 99508 - Phone
- (907) 212-3420
- Fax
- (907) 212-3429
- NPI assigned
- Apr 16, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 3486 | AK | Primary |
Addresses
Primary practice location
3300 Providence Drive, B Tower, Suite 314
Providence Senior Care Center
Anchorage, AK 99508
Mailing address
PO Box 4105
Portland, OR 97208-4105
Phone (866) 907-1068
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1573478 | Medicaid | AK | |
| P01051156 | Other | AK | MEDICARE RAILROAD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | efunk86958@ak.providencedirect.org |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3486 | AK | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600819200000",
"number": "1477879393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4105",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972084105",
"telephone_number": "866-907-1068",
"fax_number": "425-917-9141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 PROVIDENCE DRIVE, B TOWER, SUITE 314",
"address_2": "PROVIDENCE SENIOR CARE CENTER",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99508",
"telephone_number": "907-212-3420",
"fax_number": "907-212-3429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNK",
"first_name": "ELIZABETH",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D., MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-16",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AK",
"license": "3486",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1573478",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P01051156",
"state": "AK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "efunk86958@ak.providencedirect.org",
"affiliation": "N",
"address_1": "3300 Providence Drive, B Tower, Suite 314",
"address_2": "Providence Senior Care Center",
"city": "Anchorage",
"state": "AK",
"country_code": "US",
"postal_code": "99508",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.