NPIMap

Individual provider Active NPI

Jennifer L. Funaioli-Sheehan, D.O.

  • Family Medicine Physician
  • Nashua, NH
National Provider Identifier
1609816966
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22397 Issued in NH
Practice address
280 Main St
Nashua, NH 03060-2919
Phone
(603) 578-7411
Fax
(603) 577-3081
NPI assigned
Jun 7, 2006
Last updated
Dec 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22397 NH Primary

Addresses

Primary practice location

280 Main St
Nashua, NH 03060-2919

Mailing address

PO Box 3677
Nashua, NH 03061-3677
Phone (603) 577-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230105000819 NH Practitioner - Family Practice 8325059298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundation Medical Partners IncGroup PAC ID 9436140456, 313 clinicians

Practice addresses (Care Compare)

10 Jones Rd
Milford, NH 03055-3100
Phone (603) 672-7600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
22397NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Medical Partners Inc Family Medicine CurrentSince Jan 9, 2023 Accepting new patients
Foundation Medical Partners Inc. CurrentSince Jan 9, 2023 Accepting new patients
Florida Department of Health Past Accepting new patients
Merrimac Medical Investors, LLC Past Accepting new patients

Locations

10 Jones Rd
Milford, NH 03055
Phone (603) 672-7600

280 Main St
Nashua, NH 03060
Phone (603) 577-3080

Interoperability endpoints

  • Direct secure messaging: jsheehan144376@direct.solutionhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1609816966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3677",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030613677",
            "telephone_number": "603-577-7900",
            "fax_number": "603-577-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MAIN ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030602919",
            "telephone_number": "603-578-7411",
            "fax_number": "603-577-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNAIOLI-SHEEHAN",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "22397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.