Individual provider Active NPI

Amanda Funiciello, DC

  • Chiropractor
  • Osseo, MN
National Provider Identifier
1174376156
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X013671 Issued in NY
Practice address
518 Central Ave
Osseo, MN 55369-1129
Phone
(763) 425-5525
NPI assigned
Apr 9, 2024
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X013671 NY Primary

Addresses

Primary practice location

518 Central Ave
Osseo, MN 55369-1129

Mailing address

518 Central Ave
Osseo, MN 55369-1129
Phone (763) 425-5525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251007001494 MN Practitioner - Chiropractic 0547767683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nielson Family Chiropractic LLCGroup PAC ID 0648446930, 9 clinicians

Practice addresses (Care Compare)

518 Central Ave
Osseo, MN 55369-1129
Phone (763) 425-5525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X013671NYMDChiropractor
7338MNMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Nielson Family Chiropractic PLLC Chiropractor CurrentSince Aug 27, 2025 Accepting new patients

Locations

518 Central Ave
Osseo, MN 55369
Phone (763) 425-5525

5050 W 36th St
Ste 100
St Louis Park, MN 55416
Phone (612) 920-1092

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1174376156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 CENTRAL AVE",
            "city": "OSSEO",
            "state": "MN",
            "postal_code": "553691129",
            "telephone_number": "763-425-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 CENTRAL AVE",
            "city": "OSSEO",
            "state": "MN",
            "postal_code": "553691129",
            "telephone_number": "763-425-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNICIELLO",
        "first_name": "AMANDA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osseo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.