Jan J Funk, APRN, BC

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

3007542 Issued in KY

Practice address

730 Fairview Ave Ste A8
Bowling Green, KY 42101-2383

Phone

(270) 796-2550

NPI assigned

Aug 24, 2006

Last updated

Aug 9, 2016By 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

Practice roles

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.

• Bowling Green Warren County Community Hospital Corporation

  dba The Medical Center (Outpatient Behavioral Health Services)

  • Group Psychotherapy Psychologist
  • Bowling Green, KY
  • NPI 1235477266
  NPD (past)
• Maine Behavioral Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Biddeford, ME
  • NPI 1891733309
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1508973439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 FAIRVIEW AVE STE A8",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012383",
            "telephone_number": "270-796-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 FAIRVIEW AVE STE A8",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012383",
            "telephone_number": "270-796-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "JAN",
        "middle_name": "J",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "KY",
            "license": "3007542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "289840099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Callie Brooke Fuller, MSW, CSW
• Kristina Fuller, LPCC
• Megan Fuller, PT, DPT
• Megan Rae Fults, M.S., BCBA
• Austin Fultz, CRNA DNAP
• Rebecca Fuqua, APRN
• Karen Furgal, PT, DPT, PCS
• Joni Furlong, LCADC
• Elizabeth Carlton Furrow, BSW
• Anita Fuston

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.