Jayson Thomas Funicello, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556527 Issued in VA

Practice address

306 Enterprise Dr Ste B
Forest, VA 24551-2644

Phone

(434) 385-6333

NPI assigned

Feb 9, 2007

Last updated

Dec 16, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Accident & Injury Chiropractic Center, Inc.

  • Chiropractor
  • Forest, VA
  • NPI 1629119045
  Medicare reassignment NPD
• Amherst Family Chiropractic Center, Inc.

  • Chiropractor
  • Ithaca, NY
  • NPI 1932275443
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1891836292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 RIVERSIDE DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245031319",
            "telephone_number": "434-326-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 ENTERPRISE DR STE B",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512644",
            "telephone_number": "434-385-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNICELLO",
        "first_name": "JAYSON",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7447",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Fournier
• Lisa Michelle Fox
• Breyon Fraction
• Krystal Frailey
• Glenda Fuentes
• Jessica Carleen Funicello, DC
• Bethany Furman, APRN
• Michel Kay Gage, MS, VLAT, ATC
• Katelen Garraghty
• Ryan Andrew Garratt, DC

• Chiropractor in Forest, VA
• Providers in Forest, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.