Vicki Funaiole

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

N8640 Issued in ID

Practice address

1126 W River St
Boise, ID 83702-7047

Phone

(208) 331-1155

NPI assigned

Jan 21, 2014

Last updated

Jan 21, 2014By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1528481991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "telephone_number": "208-381-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 W RIVER ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027047",
            "telephone_number": "208-331-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNAIOLE",
        "first_name": "VICKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "ID",
            "license": "N8640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian D Fuller, CRNA
• Ronald F Fullmer, M.D.
• Teri Fullmer, ABO
• Barbara Nixon Fultz, COMS
• Darby Fulwider
• Functional and Integrative Medicine of Idaho PA
• Functional Medicine of Idaho PC
• Functional Physical Therapy Center
• Mon-Yee Fung
• Heidi Funk

• Diabetes Educator Registered Nurse in Boise, ID
• Providers in Boise, ID by specialty
• Diabetes Educator Registered Nurse in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.