Functional Independence, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FUNCTIONAL INDEPENDENCE, INC.

Practice address

270 German Oak Dr.
Memphis, TN 38018

Phone

(901) 363-6046

Fax

(901) 546-7662

NPI assigned

Oct 21, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Nachelle Lorraine HubbardNPI 1902062367

Title

Chief Operations Officer

Phone

(901) 949-3449

Specialties & licenses 1

Addresses

Tax ID family

Functional Independence Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Functional Independence,Inc.

  • Developmentally Disabled Services Day Training Agency
  • Memphis, TN
  • NPI 1811089824
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nachelle Lorraine Hubbard, PT

  • Physical Therapist
  • Collierville, TN
  • NPI 1902062367
  NPD Authorized official

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1497127146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 GERMAN OAK DR.",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38018",
            "telephone_number": "901-363-6046",
            "fax_number": "901-546-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 GERMAN OAK DR.",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38018",
            "telephone_number": "901-363-6046",
            "fax_number": "901-546-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL INDEPENDENCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "NACHELLE",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "901-949-3449",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Fulton, CRNA
• Stephen Parker Fulton, M.D.
• Zachary Everette Fulton
• Terrika Denise Fultz, REGISTERED NURSE
• Austin Blake Fulwood, PHARMD
• Functional Independence,Inc.
• Functionally Balanced Health
• Amy Elise Funderburk Mock, M.D.
• Wayne L Furman, MD
• Philip Marvin Furr, M.D.

• Home Health Agency in Memphis, TN
• Providers in Memphis, TN by specialty
• Home Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.