MRS. FALLON FUNDERBURK (NPI# 1386041150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386041150 |
| Entity Type | Individual |
| Full Name | MRS. FALLON FUNDERBURK |
| Credential | BSN, RN, CNOR, RNFA |
| Practice Address |
1101 Kaliste Saloom Rd Lafayette LA 70508-5705 |
| Mailing Address |
219 Rue De Frejus Broussard LA 70518-4993 |
| Practice Telephone | 3377694241 |
| Practice Fax Number | 3377694249 |
| Enumeration Date | 2014-11-22 |
| Last Update Date | 2017-08-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
RN105855 | LA | Nursing Service Providers |
| Street Address |
1101 KALISTE SALOOM RD |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-5705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134222565 | Lafayette Surgical Hospital LLC | General Acute Care Hospital | 1101 Kaliste Saloom Rd, Lafayette, LA 70508 | 2006-09-07 |
| 1770007684 | Surgical Assistants of Acadiana, LLC | Registered Nurse | 1101 Kaliste Saloom Rd, Lafayette, LA 70508-5705 | 2017-08-01 |
| 1235550344 | Danielle Sullivan | Registered Nurse | 1101 Kaliste Saloom Rd, Lafayette, LA 70508-5705 | 2013-12-17 |
| 1487978722 | Tracy Fabre | Nurse Anesthetist, Certified Registered | 1101 Kaliste Saloom Rd, Lafayette, LA 70508-5705 | 2010-03-15 |
| 1972744746 | Natalie Wright Funderburk | Nurse Anesthetist, Certified Registered | 1101 Kaliste Saloom Rd, Lafayette, LA 70508-5705 | 2009-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 163WR0006X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Registered Nurse First Assistant |
| A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
| Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770007684 | Surgical Assistants of Acadiana, LLC | Registered Nurse | 1101 Kaliste Saloom Rd, Lafayette, LA 70508-5705 | 2017-08-01 |
| 1033644687 | Adriana Acevedo | Registered Nurse | 201 Rue Beauregard, Ste 202, Lafayette, LA 70508-3251 | 2017-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093358467 | Jr First Assistant LLC | Registered Nurse | 1004 Grey Oaks Dr, Arnaudville, LA 70512-3619 | 2019-10-18 |
| 1962917401 | Kevin Charles Branford | Registered Nurse | 406 Kent Ave, Metairie, LA 70001-4324 | 2017-12-06 |
| 1154858777 | Leigh Anne Cooper | Registered Nurse | 26572 Evangeline Trace Blvd, Denham Springs, LA 70726-5907 | 2017-05-13 |
| 1760930259 | Amy Miller | Registered Nurse | 38 Tokalon Pl, Metairie, LA 70001-3020 | 2016-09-14 |
| 1790132900 | Jeffrey Smith | Registered Nurse | 209 Cedar Grove Dr, Youngsville, LA 70592-5853 | 2016-05-17 |
| 1083004592 | Kristian C Waitz | Registered Nurse | 1200 Stanford Ave, Baton Rouge, LA 70808-3643 | 2015-02-04 |
| 1891034179 | Pamela Clapp | Registered Nurse | 1426 Magnolia Rdg, Bossier City, LA 71112-5042 | 2013-02-06 |
| 1093010928 | Jewell Surgical Services, Apnc | Registered Nurse | 14321 Ventress Rd, Ventress, LA 70783-4005 | 2011-01-25 |
| 1295039105 | Maria L Gomila | Registered Nurse | 147 Woodruff Drive, Slidell, LA 70461 | 2011-01-06 |
| 1134353642 | Southern Surgical Assist, LLC | Registered Nurse | 1113 Linwood Ave, Metairie, LA 70003-2309 | 2009-05-12 |
| Find all providers with the same taxonomy | ||||
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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.