Active NPI
Jessica Funke
- Athletic Trainer
- Candler, NC
National Provider Identifier
1790174936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2214
- Practice address
- 36 Cardinal LN
Candler, NC 28715-9034 - Phone
- (828) 442-0310
- NPI assigned
- Jan 12, 2015
- Last updated
- Jan 12, 2015
- 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 | 2214 | NC | Primary |
Addresses
Primary practice location
36 Cardinal LN
Candler, NC 28715-9034
Mailing address
36 Cardinal LN
Candler, NC 28715-9034
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2214 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421020800000",
"number": "1790174936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 CARDINAL LN",
"city": "CANDLER",
"state": "NC",
"postal_code": "287159034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 CARDINAL LN",
"city": "CANDLER",
"state": "NC",
"postal_code": "287159034",
"telephone_number": "828-442-0310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNKE",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-12",
"last_updated": "2015-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "2214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Candler, NC
- Michael E Fortini, DC
- Amy Smialowicz Fowler, LCSWA
- Vesna Stajkovic Francis, P.A.
- Heather Marie Frost-Malek, MS, RDN, LDN, CDCES
- Andrea Nicole Frost, MD
- Future Pro Digital LLC
- Jan Galbreath, SLP
- Gant Hearing Care
- Garden of Healing Counseling
- Genjoy Care Communities, Inc (Canterbury Hills Adult Care Home)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.