LORI FUNKHOUSER (NPI# 1194917666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194917666 |
| Entity Type | Individual |
| Full Name | LORI FUNKHOUSER |
| Credential | FNP-BC, PMHNP-BC |
| Practice Address |
8577 E Market St Warren OH 44484-2345 |
| Mailing Address |
2980 Belmont Ave Youngstown OH 44505-1834 |
| Practice Telephone | 3308566663 |
| Practice Fax Number | 3308561581 |
| Mailing Telephone | 3307590276 |
| Mailing Fax Number | 3307590030 |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2020-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN.CNP.09522 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 997 Boardman Canfield Rd, Boardman, OH 445124223 | 3307580101 | 3307580128 |
| 5500 Market St Ste 110, Youngstown, OH 445122616 | 3307507279 | 3307507278 |
| Street Address |
8577 E MARKET ST |
| City | WARREN |
| State | OH |
| Zip Code | 44484-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144206087 | Brahmaiah Tandra | Psychiatry & Neurology | 8577 E Market St, Warren, OH 44484-2345 | 2005-12-22 |
| 1891321428 | Brandi Kaufman | Nurse Practitioner | 8577 E Market St, Warren, OH 44484-2345 | 2020-03-16 |
| 1417501412 | Michael Joseph Maggio Jr. | Registered Nurse | 8577 E Market St, Warren, OH 44484-2345 | 2019-07-29 |
| 1780150565 | Michelle Stanec | Licensed Practical Nurse | 8577 E Market St, Warren, OH 44484-2345 | 2018-10-18 |
| 1306348974 | Andrew Ryan | Counselor | 8577 E Market St, Warren, OH 44484-2345 | 2018-02-28 |
| 1164950473 | Michael Canton | Counselor | 8577 E Market St, Warren, OH 44484-2345 | 2017-05-31 |
| 1922559996 | Joel David Steider | Licensed Practical Nurse | 8577 E Market St, Warren, OH 44484-2345 | 2016-10-14 |
| 1578917506 | Amanda Stanley | Licensed Practical Nurse | 8577 E Market St, Warren, OH 44484-2345 | 2016-04-15 |
| 1740666965 | Meridel Jones | Counselor | 8577 E Market St, Warren, OH 44484-2345 | 2015-08-11 |
| 1104202795 | Christina Guzzo | Counselor | 8577 E Market St, Warren, OH 44484-2345 | 2015-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446283 | Jessica Toot | Behavior Technician | Oakwood Counseling Center LLC, 1704 North Road Se, Warren, OH 44484 | 2020-08-05 |
| 1558857060 | Quantina Louise Thomas | Home Health | 1548oak Knoll Se, Warren, OH 44484 | 2018-07-09 |
| 1033609706 | Justin A Houy | Massage Therapist | 8345 E. Market St. Suite C, The Chiropractic and Functional Neurology Center, Warren, OH 44484 | 2018-05-17 |
| 1679091359 | Ester Mae Butler | Nurse's Aide | 2228 Draper Avenue Se, Warren, OH 44484 | 2017-09-01 |
| 1477070811 | Amanda Lynn Heberling | Occupational Therapy Assistant | 8128 Kenyon Dr., Warren, OH 44484 | 2017-08-26 |
| 1790213650 | Joyce A Mechling | Licensed Practical Nurse | 2737 Youngstown Rd., Warren, OH 44484 | 2017-05-23 |
| 1598206898 | Stan Catullo | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Road Se, Warren, OH 44484 | 2017-03-20 |
| 1679014054 | Pamela M Lang | Pharmacist | 1977 Niles Rd S.e., Genoa A Qol Healthcare Company, Warren, OH 44484 | 2017-03-17 |
| 1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
| 1215311865 | Jessica Dawn Harris | Physical Therapy Assistant | 1926 Ridge Avenue, Warren, OH 44484 | 2015-07-14 |
| Find all providers in zip 44484 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992319 | Katherine Elizabeth Loffredo | Nurse Practitioner | 74 Seymour St, Warren, RI 02885-4227 | 2020-08-16 |
| 1306455860 | Wendy Michelle Ray | Nurse Practitioner | 1012 E Church St Ste A, Warren, AR 71671-3530 | 2020-07-29 |
| 1124679725 | Aprille Palac Mangalonzo | Nurse Practitioner | 14 Hillcrest Blvd, Warren, NJ 07059-5116 | 2019-09-25 |
| 1831505577 | Mary Grace Hall | Nurse Practitioner | 103 W Market St, Warren, OH 44481-1017 | 2014-07-02 |
| 1114548468 | Karen Marie Kline | Nurse Practitioner | 514 W 3rd Ave, Warren, PA 16365-2245 | 2020-04-28 |
| 1891321428 | Brandi Kaufman | Nurse Practitioner | 8577 E Market St, Warren, OH 44484-2345 | 2020-03-16 |
| 1720620198 | Elizabeth Miller | Nurse Practitioner | 150 E Market St, Warren, OH 44481-1141 | 2019-10-17 |
| 1538712922 | Zach Aldridge | Nurse Practitioner | 150 E Market St, Warren, OH 44481-1141 | 2019-07-24 |
| 1396202412 | Tammy A Klinefelter | Nurse Practitioner | 3120 W Market St, Warren, OH 44485-3069 | 2019-02-25 |
| 1790255248 | Jessica Shantz | Nurse Practitioner | 28800 Ryan Rd Ste 320, Warren, MI 48092-4272 | 2018-11-27 |
| Find all providers in WARREN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.