FUNCTIONAL HEALTH CONSULTING, LLC (NPI# 1538645288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538645288 |
| Entity Type | Organization |
| Organization Name | FUNCTIONAL HEALTH CONSULTING, LLC |
| Other Organization Name | VIDA INTEGRATED HEALTH |
| Practice Address |
4915 25th Ave Ne Ste 104 Seattle WA 98105-8667 |
| Mailing Address |
15 Sw Everett Mall Way Ste G Everett WA 98204-2715 |
| Practice Telephone | 2063157998 |
| Practice Fax Number | 2063162308 |
| Mailing Telephone | 4253555222 |
| Mailing Fax Number | 4253555231 |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |
| Authorized Official Name | DEBBIE TROXLER (BILLING SPECIALIST) |
| Authorized Official Telephone | 4253555222 |
| Is Organization Subpart | Y |
| Parent Organization Name | FUNCTIONAL HEALTH CONSULTING, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Vida Integrated Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790261444 | Functional Health Consulting, LLC | Chiropractor | 13030 121st Way Ne Ste 102, Kirkland, WA 98034-3008 | 2018-07-16 |
| 1871801522 | Functional Health Consulting, LLC | Chiropractor | 2014 E Madison St Ste 100, Seattle, WA 98122-2965 | 2010-09-15 |
| 1366991572 | Functional Health Consulting, LLC | Chiropractor | 606 120th Ave Ne, Building D, Ste 100, Bellevue, WA 98200 | 2016-09-28 |
| 1619226891 | Functional Health Consulting, LLC | Chiropractor | 15 Sw Everett Mall Way Ste G, Everett, WA 98204-2715 | 2012-09-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | FUNCTIONAL HEALTH CONSULTING, LLC | 2014 E Madison St # 100, Seattle, WA 98122 |
| Street Address |
4915 25TH AVE NE STE 104 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-8667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386808889 | Jason P Godfrey | Physical Therapist | 4915 25th Ave Ne Ste 104, Seattle, WA 98105 | 2008-07-14 |
| 1417563669 | Alexis Taylor Gonzales | Naturopath | 4915 25th Ave Ne Ste 104, Seattle, WA 98105-8667 | 2020-09-22 |
| 1982092730 | Carrie Belleson | Chiropractor | 4915 25th Ave Ne Ste 104, Seattle, WA 98105-8667 | 2015-01-02 |
| 1902186935 | Johnny Le Mccree | Specialist | 4915 25th Ave Ne Ste 104, Seattle, WA 98105-8667 | 2011-08-22 |
| 1770888588 | Nicholas David Petrini | Chiropractor | 4915 25th Ave Ne Ste 104, Seattle, WA 98105-8667 | 2011-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
| 1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
| 1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
| 1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
| Find all providers in zip 98105 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538624168 | Orca Wellness | Chiropractor | 511 Boren Ave N Ste 301, Seattle, WA 98109-5505 | 2019-02-07 |
| 1316215593 | Zachary Nolan Zugschwerdt | Chiropractor | 621 5th Ave N Ste A, Seattle, WA 98109-4241 | 2011-12-02 |
| 1033400734 | Rodney Cal Hair | Chiropractor | 718 N 143rd St Apt 308, Seattle, WA 98133-6969 | 2011-04-28 |
| 1871801522 | Functional Health Consulting, LLC | Chiropractor | 2014 E Madison St Ste 100, Seattle, WA 98122-2965 | 2010-09-15 |
| 1457489833 | Eastlake Chiropractic Center, Ps | Chiropractor | 2722 Eastlake Ave E Ste 360, Seattle, WA 98102-3143 | 2007-02-28 |
| 1609958545 | Catherine Ann Mastroianni | Chiropractor | 4413 36th Ave Ne, Seattle, WA 98105-5626 | 2006-10-19 |
| 1043317696 | Kent Karschnik | Chiropractor | 1100 19th Ave E, Seattle, WA 98112-3505 | 2006-09-17 |
| 1982213427 | Chiropractic Solutions, Pllc | Chiropractor | 753 N 35th St Ste 301, Seattle, WA 98103-8873 | 2020-07-30 |
| 1255838298 | Mindbody Medicine PC | Chiropractor | 2705 Ne 65th St, Seattle, WA 98115-7129 | 2018-04-06 |
| 1851824197 | Fdseattle Clinic Inc | Chiropractor | 918 S Horton St, Ste 930, Seattle, WA 98134-1952 | 2017-04-04 |
| Find all providers in SEATTLE | ||||
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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.