EKATERINA FUNK (NPI# 1376950337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376950337 |
| Entity Type | Individual |
| Full Name | EKATERINA FUNK |
| Credential | CNP |
| Practice Address |
161 Marginal Way Portland ME 04101-2438 |
| Practice Telephone | 2077737964 |
| Practice Fax Number | 2077739073 |
| Mailing Telephone | 2077737964 |
| Mailing Fax Number | 2077955649 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2019-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP141064 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
161 MARGINAL WAY |
| City | PORTLAND |
| State | ME |
| Zip Code | 04101-2438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518963677 | Jeffrey K Moore | Ophthalmology | 161 Marginal Way, Portland, ME 04101-2438 | 2005-06-23 |
| 1477952075 | Karen Stoughton | Nurse Practitioner | 161 Marginal Way, Portland, ME 04101-2438 | 2014-08-19 |
| 1831534031 | Cristina Churchill Rutherford | Internal Medicine | 161 Marginal Way, Portland, ME 04101-2438 | 2013-05-02 |
| 1376986513 | Kelly Daylyn Pizzo | Internal Medicine | 161 Marginal Way, Portland, ME 04101-2438 | 2013-04-08 |
| 1164710075 | Noemi Baffy | Internal Medicine | 161 Marginal Way, Portland, ME 04101-2438 | 2011-07-12 |
| 1831488477 | Karrie K Sweet | Dietitian, Registered | 161 Marginal Way, Portland, ME 04101 | 2011-04-05 |
| 1033363528 | Caitlin Phelps | Physician Assistant | 161 Marginal Way, Portland, ME 04101-2438 | 2008-11-10 |
| 1134325806 | Kate Forssell Kennedy | Internal Medicine | 161 Marginal Way, Portland, ME 04101-2438 | 2007-06-21 |
| 1891990602 | Daniil Rolshud | Internal Medicine | 161 Marginal Way, Portland, ME 04101-2438 | 2007-06-20 |
| 1508087289 | Portland Gastroenterology Associates P.a. | Internal Medicine | 161 Marginal Way, Portland, ME 04101 | 2007-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450655 | Jocylin Egan | Nurse Practitioner | 442 Congress Street, 2nd Floor, Portland, ME 04101 | 2020-09-03 |
| 1255963559 | Portcity Home Healthcare LLC | In Home Supportive Care | 525 Forest Avenue, Suite 8, Portland, ME 04101 | 2020-02-05 |
| 1578101929 | Mohamed Hassan Mohamed | Student in an Organized Health Care Education/Training Program | 75 Lancaster St Ste 218a, Portland, ME 04101 | 2019-12-17 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| 1093379224 | Alexandra Strawbridge Maurer | Acupuncturist | 50 A Cove Street, Portland, ME 04101 | 2019-04-23 |
| 1245719541 | Scott J Whited | Nurse Practitioner | 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 | 2018-08-08 |
| 1144733064 | Alixandria Elaine Marie Winchell | Massage Therapist | One City Center, Portland, ME 04101 | 2017-11-14 |
| 1417473638 | Rachel S Schwaner | Occupational Therapist | 78 Danforth Street, Apartment 6, Portland, ME 04101 | 2017-08-18 |
| 1023538154 | Derina Boothroyd | Audiologist-Hearing Aid Fitter | 985 Forest Ave., Portland, ME 04101 | 2017-06-20 |
| 1881123297 | Mark Mccullough | Social Worker | 57 Exchange Street, Suite 403, Portland, ME 04101 | 2017-06-08 |
| Find all providers in zip 04101 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822794 | Danielle Langer | Nurse Practitioner | 35 Ridgeview Rd, Portland, CT 06480-4014 | 2020-08-23 |
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1114566650 | Sadie Garnache-poirier | Nurse Practitioner | 65 W Commercial St Ste 107, Portland, ME 04101-4789 | 2020-01-02 |
| 1902441629 | Jennifer Marie Colpitts | Nurse Practitioner | 1600 Congress St Ste B, Portland, ME 04102-2148 | 2019-11-18 |
| 1477102689 | Raquel A Bishop | Nurse Practitioner | 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 | 2019-09-10 |
| 1265081640 | Christina Lee | Nurse Practitioner | 144 State St # 1, Portland, ME 04101-3776 | 2019-09-09 |
| 1407401474 | Abby Christine Vopal | Nurse Practitioner | 66 Bramhall St Fl 1, Portland, ME 04102-3355 | 2019-08-07 |
| 1770145294 | Cynthia Marie Martinez | Nurse Practitioner | 1145 Austin St, Portland, TX 78374-2013 | 2019-07-04 |
| 1528532306 | Matthew James Keelin | Nurse Practitioner | 6801 Ne Cornfoot Rd, Portland, OR 97218-2743 | 2019-01-15 |
| 1659847580 | Colleen Jeanette Scott | Nurse Practitioner | 650 Nw Irving St, Portland, OR 97209-1272 | 2018-10-18 |
| Find all providers in PORTLAND | ||||
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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.