Organization Active NPI

Family Healthcare Functional Medicine LLC

  • Family Nurse Practitioner
  • Zanesville, OH
National Provider Identifier
1194605865
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
FAMILY HEALTHCARE FUNCTIONAL MEDICINE LLC
Practice address
921 Linden Ave
Zanesville, OH 43701-3049
Phone
(740) 868-8428
Fax
(740) 868-8390
NPI assigned
Sep 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Authorized official

Name
Dr. Judean Leroy, DNP, APRN-BCNPI 1386918993
Title
Practice Owner/NP
Phone
(740) 868-8428

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

921 Linden Ave
Zanesville, OH 43701-3049

Mailing address

921 Linden Ave
Zanesville, OH 43701-3049
Phone (740) 868-8428

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251106000554 OH Part B Supplier - Clinic/Group Practice 8527558782 Receives reassigned benefits from 1 practitioner
Practice locations: Zanesville, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2154454Family Healthcare Functional Medicine921 Linden Avenue, Zanesville, OH 43701Certificate of waiverSep 12, 2026

National Provider Directory

National Provider Directory

Locations

921 Linden Ave
Zanesville, OH 43701
Phone (740) 868-8428

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1194605865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 LINDEN AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437013049",
            "telephone_number": "740-868-8428",
            "fax_number": "740-868-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 LINDEN AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437013049",
            "telephone_number": "740-868-8428",
            "fax_number": "740-868-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTHCARE FUNCTIONAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "LEROY",
        "authorized_official_first_name": "JUDEAN",
        "authorized_official_title_or_position": "PRACTICE OWNER/NP",
        "authorized_official_telephone_number": "740-868-8428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.