Illuminate Functional Health LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

ILLUMINATE FUNCTIONAL HEALTH LLC

Practice address

5900 Balcones Dr Ste 100
Austin, TX 78731-4298

Phone

(503) 347-1543

NPI assigned

Jun 27, 2023

Organization subpart

No

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

Authorized official

Name

Rachel Kronemann

Title

Owner/Registered Dietitian

Phone

(503) 347-1543

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1235815747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W PANTHER WAY APT 604",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766433233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314298",
            "telephone_number": "503-347-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATE FUNCTIONAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "KRONEMANN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER/REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "503-347-1543"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sara Illig
• Gabriel Illovsky, CRNA
• Illuminear Tinnitus & Audiology Center
• Katherine E Iltis, PHARMD.
• Iluminacion Counseling & Wellness
• Jingu Im, DPT
• Imagdent Austin Group LLC

• Health Service Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.