MRS. TENEIKA CLIFTON FUNDERBURK (NPI# 1770781098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770781098 |
| Entity Type | Individual |
| Full Name | MRS. TENEIKA CLIFTON FUNDERBURK |
| Practice Address |
6033 Florence Ave Ste 200 Charlotte NC 28212 |
| Mailing Address |
6033 Florence Ave Ste 200 Charlotte NC 28212-6390 |
| Practice Telephone | 9804305055 |
| Practice Fax Number | 7047498652 |
| Mailing Telephone | 9804305055 |
| Mailing Fax Number | 7047498652 |
| Enumeration Date | 2007-07-08 |
| Last Update Date | 2019-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
HC3403 | NC | Nursing Service Related Providers |
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
HC3403 | NC | Nursing Service Related Providers |
| N | 376K00000X | Nurse's Aide | 329836 | NC | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6601520 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6033 Florence Ave Ste 200, Charlotte, NC 28212 | 9804305055 | 7047498652 |
| Street Address |
6033 FLORENCE AVE STE 200 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371250 | Amy Sierra Conner | Counselor | 5700 Executive Drive Suite 110, Charlotte, NC 28212 | 2019-11-25 |
| 1700447307 | Nagarani Nagarajan Dds.,pllc | Clinic/Center | 2510 Vista Drive, Suite 100, Charlotte, NC 28212 | 2019-06-25 |
| 1700441011 | Khadija Brown | Counselor | 6601 English Hills Dr, Charlotte, NC 28212 | 2019-05-02 |
| 1245711514 | Savannah Huneycutt | Dentist | 6708 Albemarle Road, Charlotte, NC 28212 | 2018-08-24 |
| 1417435710 | Porcelain Dolls of The Carolinas, Inc | Clinic/Center | 5835 Executive Center Dr # 101-i, Charlotte, NC 28212 | 2018-07-30 |
| 1447701511 | Christine Walker Physical Therapy, LLC | Clinic/Center | 8850 Monroe Rd, Charlotte, NC 28212 | 2016-10-24 |
| 1013376128 | Colby Edward Joyner | Physician Assistant | 7005 Wallace Rd Ste 600, Charlotte, NC 28212 | 2016-02-17 |
| 1760814412 | Nguyen Tri Nguyen, Dds, Pa | Dentist | 6404 Albemarle Road, #c, Charlotte, NC 28212 | 2013-08-05 |
| 1477806834 | Tara Thompson | Counselor | 6900 Democracy Dr., Charlotte, NC 28212 | 2012-10-23 |
| 1568711109 | Mary Dianne Branch | Counselor | 8130 Runaway Bay Drive Apt Q, Charlotte, NC 28212 | 2012-08-29 |
| Find all providers in zip 28212 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093335283 | Brionna Rene Mielke I | Technician | 4188 Carlisle Hwy, Charlotte, MI 48813-9562 | 2020-04-17 |
| 1922464353 | Shavon Land | Technician | 1323 Spruce St, Charlotte, NC 28203-4670 | 2016-01-14 |
| 1871905182 | Angie Wirick | Technician | 4023 Winfield Dr, Charlotte, NC 28205-6430 | 2014-05-21 |
| 1326489162 | Lynette Mccorkle-austin | Technician | 7228 Cranswick Pl, Charlotte, NC 28227-8794 | 2013-07-09 |
| 1639510605 | Undray Containe Mills | Technician | 7313 Pebblestone Dr Apt B, Charlotte, NC 28212-0020 | 2013-07-08 |
| 1679813760 | Homecare of North Carolina | Technician | 1107 Beatties Ford Rd Unit A, Charlotte, NC 28216-5034 | 2013-02-26 |
| 1992028716 | Hughes Comprehensive Homecare, LLC | Technician | 3460 N Davidson St, Charlotte, NC 28205-1123 | 2010-03-08 |
| 1902135619 | Tyshieka Maylee Stinson | Technician | 12512 Welland Trl, Charlotte, NC 28215-9640 | 2009-12-09 |
| 1013240522 | Kimberly T Tanner | Technician | 9836 Feldbank Dr, Charlotte, NC 28216-2135 | 2009-09-15 |
| 1508002171 | Mlm Home Care,llc | Technician | 1505 Long Paw Ln, Charlotte, NC 28214-7704 | 2009-01-01 |
| Find all providers in CHARLOTTE | ||||
Please comment or provide details below to improve the information on MRS. TENEIKA CLIFTON FUNDERBURK.
| 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.