Functional Health Center LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

922765 Issued in PA

Legal business name

FUNCTIONAL HEALTH CENTER LLC

Practice address

1143 Hagues Mill Rd
Ambler, PA 19002-6000

Phone

(215) 888-0170

NPI assigned

Nov 3, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Nicole H Schillinger, RD, LDNNPI 1316279870

Title

Owner, Registered Dietitian

Phone

(215) 888-0170

Specialties & licenses 1

Addresses

Other names 1

• Nictrition Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Helene Schillinger, RD, LDN

  • Registered Dietitian
  • Ambler, PA
  • NPI 1316279870

  Dietitian, Registered

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1043597107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 HAGUES MILL RD",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190026000",
            "telephone_number": "215-888-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 HAGUES MILL RD",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190026000",
            "telephone_number": "215-888-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "SCHILLINGER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER, REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "215-888-0170",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "922765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nictrition",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Registered Dietitian in Ambler, PA
• Providers in Ambler, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.