Active NPI
Beth Alison Funkhouser, MED, ATC, CSCS
- Athletic Trainer
- Emory, VA
National Provider Identifier
1780637074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0126000437
- Practice address
- 12228 Itta Bena Dr
Emory & Henry College- King Athletic Center
Emory, VA 24327 - Phone
- (276) 944-6590
- Fax
- (276) 944-6738
- NPI assigned
- May 18, 2006
- Last updated
- Jan 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0126000437 | VA | Primary |
Addresses
Primary practice location
12228 Itta Bena Dr
Emory & Henry College- King Athletic Center
Emory, VA 24327
Mailing address
PO Box 947
Emory & Henry College- King Athletic Center
Emory, VA 24327
Phone (276) 698-7530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0126000437 | VA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358208000000",
"number": "1780637074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 947",
"address_2": "EMORY & HENRY COLLEGE- KING ATHLETIC CENTER",
"city": "EMORY",
"state": "VA",
"postal_code": "24327",
"telephone_number": "276-698-7530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12228 ITTA BENA DR",
"address_2": "EMORY & HENRY COLLEGE- KING ATHLETIC CENTER",
"city": "EMORY",
"state": "VA",
"postal_code": "24327",
"telephone_number": "276-944-6590",
"fax_number": "276-944-6738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNKHOUSER",
"first_name": "BETH",
"middle_name": "ALISON",
"name_prefix": "Ms.",
"credential": "MED, ATC, CSCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2013-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "0126000437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Emory, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.