Marissa Jennie Funk, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

201509280RN Issued in OR

Practice address

23528 SW Middleton Rd
Sherwood, OR 97140-8864

Phone

(201) 755-7070

NPI assigned

Sep 14, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505347200000",
    "number": "1932628583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28872 NW KEENON ST",
            "city": "NORTH PLAINS",
            "state": "OR",
            "postal_code": "971337184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23528 SW MIDDLETON RD",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971408864",
            "telephone_number": "201-755-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "MARISSA",
        "middle_name": "JENNIE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2017-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OR",
            "license": "201509280RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel N Fast, DMD
• Elisabetta Paderi Fernandez
• Robert Edwin Fisher, NP
• Kendra Flann, D.M.D
• Adam Francois, DMD
• Holly Galis, DPT
• Ashley Garcia, MA, LMFT
• Amy L Gerhard, MD
• Jordyn Diane Gieber
• Andrew D Glass, DO

• Home Health Registered Nurse in Sherwood, OR
• Providers in Sherwood, OR by specialty
• Home Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; 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.