LISA FUNK (NPI# 1629534771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629534771 |
| Entity Type | Individual |
| Full Name | LISA FUNK |
| Practice Address |
1 Mustard St Rochester NY 14609-6980 |
| Practice Telephone | 5852567500 |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184178931 | Lisa Funk | Physical Therapy Assistant | 574 E Main St, Independence, VA 24348-3879 | 2016-08-10 |
| 1750788709 | Lisa Kay Funk | Nurse Practitioner | 1900 Wardenburg Dr, Boulder, CO 80309-7106 | 2014-11-19 |
| Street Address |
1 MUSTARD ST |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14609-6980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801978044 | Jennifer Enzanna Kimmel | Social Worker | 1 Mustard St, Rochester, NY 14609-6980 | 2006-10-19 |
| 1932710308 | Megan B Smith | Peer Specialist | 1 Mustard St, Rochester, NY 14609-6980 | 2020-08-11 |
| 1033745856 | Jonathan David Weaver | Social Worker | 1 Mustard St, Rochester, NY 14609-6980 | 2020-03-13 |
| 1437784865 | Nancy Williams | Peer Specialist | 1 Mustard St, Rochester, NY 14609-6980 | 2020-03-05 |
| 1417581562 | Cristina Camardo | Counselor | 1 Mustard St, Rochester, NY 14609-6980 | 2020-02-27 |
| 1568002905 | Lyn Dang | Social Worker | 1 Mustard St, Rochester, NY 14609-6980 | 2020-01-14 |
| 1063051845 | Jacqueline Lee Donk | Counselor | 1 Mustard St, Rochester, NY 14609-6980 | 2019-12-27 |
| 1952949265 | Kweli K Sams | Counselor | 1 Mustard St, Rochester, NY 14609-6980 | 2019-12-17 |
| 1205471406 | Anne Marie Siconolfi | Case Manager/Care Coordinator | 1 Mustard St, Rochester, NY 14609-6980 | 2019-11-12 |
| 1932750247 | Bobbie Lynn Poles-falk | Residential Treatment Facility, Emotionally Disturbed Children | 1 Mustard St, Rochester, NY 14609-6980 | 2019-09-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928828 | Aundrea Camille Williams | Licensed Practical Nurse | 99 Meaodw Circle, Rochester, NY 14609 | 2020-10-06 |
| 1043836869 | Sharon Ann Reilly | Registered Nurse | 910 North Goodman Street, Suite 1, Rochester, NY 14609 | 2020-06-17 |
| 1235655671 | Tameka Shaunte Parker | Licensed Practical Nurse | 35 Village Way, Rochester, NY 14609 | 2017-08-17 |
| 1851817472 | Mary Ann Dukes | Registered Nurse | 75 Yates Street, Rochester, NY 14609 | 2017-08-15 |
| 1023533064 | Fernando Caumont | Urology | 2615 Culver Rd Ste 100, Rochester, NY 14609 | 2017-08-10 |
| 1083061162 | Teyanee Latavia Harewood | Registered Nurse | 418 Hayward Ave, Rochester, NY 14609 | 2016-05-19 |
| 1164853891 | Sukhminder Kaur Sahansra | Internal Medicine | 335 North Park Drive, Elderone, Rochester, NY 14609 | 2013-12-05 |
| 1952749863 | Nada Jadrovska | Registered Nurse | 79 Eagle Rock Dr, Rochester, NY 14609 | 2013-06-13 |
| 1457602930 | Lynnetta Maria Hollomon | Licensed Practical Nurse | 827 Edgecreek Trail, Rochester, NY 14609 | 2012-09-25 |
| 1568711596 | Anthony L. Jordan Health Corporation | Clinic/Center | 151 Parsells Ave, Jordan Health At Community Place, Rochester, NY 14609 | 2012-09-06 |
| Find all providers in zip 14609 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064832 | Kenneth Robert Lewis | Peer Specialist | 320 N Goodman St Ste 202320, Rochester, NY 14607-1185 | 2020-08-18 |
| 1487292793 | Robert Lee | Peer Specialist | 835 West Main St, Rochester, NY 14611-2335 | 2019-12-17 |
| 1811534670 | Christopher J Clase | Peer Specialist | 3 Stonewood Park Apt D, Rochester, NY 14616-3628 | 2019-11-28 |
| 1467011320 | Vinnie Dunnell Williams | Peer Specialist | 73 Brookfield Rd, Rochester, NY 14610-1015 | 2019-06-13 |
| 1881185122 | Tammy J Demarle | Peer Specialist | 320 N Goodman St Ste 202, Rochester, NY 14607-1186 | 2018-05-22 |
| 1912497223 | Lorrie Boyce | Peer Specialist | 344 N Goodman St, Rochester, NY 14607-1146 | 2018-05-11 |
| 1366948424 | Monekia Michelle Moore | Peer Specialist | 320 North Goodman Street, Rochester, NY 14607 | 2018-04-05 |
| 1366950164 | Tina Amico | Peer Specialist | 687 Lee Rd Ste 185c, Rochester, NY 14606-4258 | 2018-01-15 |
| 1982211850 | Sharon Thaxton | Peer Specialist | 835 W Main St, Rochester, NY 14611-2335 | 2020-09-25 |
| 1932710308 | Megan B Smith | Peer Specialist | 1 Mustard St, Rochester, NY 14609-6980 | 2020-08-11 |
| Find all providers in ROCHESTER | ||||
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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.