Nicholas Joseph Funk, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN007017 Issued in PA

Practice address

453 Easton Rd
Horsham, PA 19044-2508

Phone

(484) 228-1456

NPI assigned

Mar 8, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nutrition 4 Family, LLC

  • Registered Dietitian
  • Newtown, PA
  • NPI 1982262481

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1583625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1548895758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 GREEN MEADOW DR",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195181344",
            "telephone_number": "484-228-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 EASTON RD",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442508",
            "telephone_number": "484-228-1456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 King Of Prussia Rd",
            "address_purpose": "LOCATION",
            "city": "Radnor",
            "state": "PA",
            "postal_code": "190874440",
            "country_code": "US",
            "telephone_number": "610-527-9360 x4045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNK",
        "first_name": "NICHOLAS",
        "middle_name": "JOSEPH",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-08",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN007017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nfunk@renfrewcenter.com",
            "affiliation": "N",
            "endpointDescription": "work secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "320 King Of Prussia Rd",
            "city": "Radnor",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190874440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Registered Dietitian in Horsham, PA
• Providers in Horsham, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.