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REBECCA FUNDERBURK FNP
NPI 1720972094
Nurse Practitioner - Family in Indian Land, SC

Active since June 03, 2025
1040 EDGEWATER CORPORATE PKWY STE 101, INDIAN LAND, SC 29707(803) 548-7007 Get Directions Write a Review

NPPES record last updated: December 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 24, 2025, Jun 3, 2025 (2 updates tracked since 2025).

About Rebecca Funderburk Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBECCA FUNDERBURK FNP (NPI 1720972094) is an individual family provider in Indian Land, South Carolina, licensed in South Carolina (31338) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1720972094
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameREBECCA FUNDERBURKCredential: FNP
Location Address1040 EDGEWATER CORPORATE PKWY STE 101Indian Land, SC 29707-4526
Mailing Address3055 Richards Way DrRock Hill, SC 29732-8857 · (803) 320-0246
Phone(803) 548-7007
Sole ProprietorNo
Enumeration DateJune 3, 2025
Last NPPES UpdateDecember 24, 20252 updates tracked since enumeration
NPPES CertifiedDecember 24, 2025
✔ NPI 1720972094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SC · 31338
1040 EDGEWATER CORPORATE PKWY STE 101, Indian Land, SC 29707
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KERRION GREEN
Nurse Practitioner (Family)
1040 EDGEWATER CORPORATE PKWY STE 101
INDIAN LAND, SC 29707
Lancaster County (803) 548-7007
CROSSBRIDGE COUNSELING LLC
Marriage & Family Therapist
1040 EDGEWATER CORPORATE PKWY STE 101
INDIAN LAND, SC 29707
Lancaster County (814) 882-5400
OLHA DANCHYSHYN
Nurse Practitioner
1040 EDGEWATER CORPORATE PKWY STE 101
INDIAN LAND, SC 29707
Lancaster County (803) 548-7007
DR. KRISMA GREGORY PHARM.D.
Pharmacist (Ambulatory Care)
1040 EDGEWATER CORPORATE PKWY STE 101
INDIAN LAND, SC 29707
Lancaster County (704) 729-4536
CROSSBRIDGE COUNSELING LLC
Marriage & Family Therapist
1040 EDGEWATER CORPORATE PKWY STE 101
INDIAN LAND, SC 29707
Lancaster County (814) 882-5400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebecca Funderburk's NPI number?

The NPI number for Rebecca Funderburk is 1720972094. It was assigned to this individual provider in the NPPES registry on June 3, 2025.

Where is Rebecca Funderburk located?

Rebecca Funderburk practices at 1040 Edgewater Corporate Pkwy Ste 101, Indian Land, SC 29707. The listed phone number is (803) 548-7007.

What is Rebecca Funderburk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Rebecca Funderburk was last updated on December 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.