SUSANNA FUNK (NPI# 1598019663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598019663 |
| Entity Type | Individual |
| Full Name | SUSANNA FUNK |
| Credential | ARNP |
| Practice Address |
302 Ne 14th St Leon IA 50144-1206 |
| Practice Telephone | 6414462382 |
| Mailing Telephone | 6414462382 |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
G116903 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
302 NE 14TH ST |
| City | LEON |
| State | IA |
| Zip Code | 50144-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134197643 | Larry Wayne Richard | Family Medicine | 302 Ne 14th St, Leon, IA 50144-1206 | 2006-03-09 |
| 1467051888 | Rebecca Lynn Moore | Nurse Practitioner | 302 Ne 14th St, Leon, IA 50144-1206 | 2020-10-19 |
| 1588226492 | Aaron Cobb | Pharmacist | 302 Ne 14th St, Leon, IA 50144-1206 | 2019-07-01 |
| 1801388764 | Kate Elaine O'donnell | Dentist | 302 Ne 14th St, Leon, IA 50144-1206 | 2018-06-05 |
| 1598283533 | Maria Beatriz Dantzler | Marriage & Family Therapist | 302 Ne 14th St, Leon, IA 50144-1206 | 2017-08-30 |
| 1649794181 | Ryan Banks | Pharmacist | 302 Ne 14th St, Leon, IA 50144-1206 | 2017-07-26 |
| 1598287476 | Laura Heide | Counselor | 302 Ne 14th St, Leon, IA 50144-1206 | 2017-07-12 |
| 1306378443 | Julie Ury | Counselor | 302 Ne 14th St, Leon, IA 50144-1206 | 2017-03-29 |
| 1205377322 | Community Health Centers of Southern Iowa, Inc | Pharmacy | 302 Ne 14th St, Leon, IA 50144-1206 | 2017-03-09 |
| 1326588179 | Adam Dosch | Pharmacist | 302 Ne 14th St, Leon, IA 50144-1206 | 2017-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306469168 | Michaella Marie Power | Technician | 401 Se Q St, Apt 31, Leon, IA 50144 | 2020-05-27 |
| 1285764175 | Decatur County Community Services | Case Management | 201 Ne Idaho, Leon, IA 50144 | 2007-03-07 |
| 1093793051 | County of Decatur | Home Health | 207 Ne Idaho St, Leon, IA 50144 | 2006-01-09 |
| 1356860498 | Mara Wengryn | Chiropractor | 303 Sw Lorraine St Ste C, Leon, IA 50144-1101 | 2017-09-10 |
| 1184025918 | Westview Properties LLC | Assisted Living Facility | 203 Sw Lorraine St, Leon, IA 50144-1176 | 2014-09-11 |
| 1467422709 | Westview Acres Corp | Alzheimer Center (Dementia Center) | 203 Sw Lorraine St., Leon, IA 50144-1176 | 2006-01-26 |
| 1497827570 | South Central Home Health Care Inc | Home Health | 303 Sw Lorraine St, Leon, IA 50144-1178 | 2006-11-14 |
| 1285120659 | Miranda Nicole Helm | Emergency Medicine | 1405 Nw Church St, Leon, IA 50144-1205 | 2018-07-09 |
| 1518470392 | Timothy Alan Harper | Nurse Practitioner | 1405 Nw Church St, Leon, IA 50144-1205 | 2017-11-15 |
| 1760632640 | Decatur County Hospital | Family Medicine | 1405 Nw Church St, Leon, IA 50144-1205 | 2008-09-26 |
| Find all providers in zip 50144 | ||||
| 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 |
|---|---|---|---|---|
| 1376926535 | Rebecca Devine | Nurse Practitioner | 302 Ne 14th St, Leon, IA 50144-1206 | 2015-07-07 |
| 1003867888 | Mark S Hensley | Nurse Practitioner | 302 Ne 14th St, Leon, IA 50144 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463292 | Sarah Evie Schuller | Nurse Practitioner | 215 Nw 18th St Ste 102, Ankeny, IA 50023-4282 | 2020-09-26 |
| 1174139950 | Heartland Healthcare Psychiatry, LLC | Nurse Practitioner | 455 N Orthmckenzie Lane, North Liberty, IA 52317-8901 | 2020-09-17 |
| 1356956916 | Jennifer Cherop Cheruiyot | Nurse Practitioner | 215 Nw 18th St, Ankeny Ia 50023, Ankeny, IA 50023 | 2020-09-10 |
| 1083224844 | Amy Leclere | Nurse Practitioner | 404 Stonehaven Ln Ne, Cedar Rapids, IA 52402-1451 | 2020-08-06 |
| 1154940971 | Raven N Niles | Nurse Practitioner | 732 13th Ave, Coralville, IA 52241-1737 | 2020-04-12 |
| 1104459254 | Jered Flinkman | Nurse Practitioner | 420 Mill St Sw, Mitchellville, IA 50169-7702 | 2020-02-18 |
| 1508401571 | Someplace Psychiatric Services, Plc | Nurse Practitioner | 3909 Briarwood Dr, Cedar Falls, IA 50613-7508 | 2019-11-13 |
| 1053963900 | Nicole Dora Mcclavy | Nurse Practitioner | 610 10th St, Perry, Ia 50220, Perry, IA 50220 | 2019-07-11 |
| 1740841188 | Evizzit of Iowa Psychiatry PC | Nurse Practitioner | 1501 42nd St Ste 120, West Des Moines, IA 50266-1005 | 2019-06-26 |
| 1548736085 | Ncc Psychiatric Services Pllc | Nurse Practitioner | 50 Central Ave Se Ste 102, Le Mars, IA 51031-3562 | 2018-10-23 |
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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.