Functional Health and Wellness, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

728437 Issued in TX

Legal business name

FUNCTIONAL HEALTH AND WELLNESS, PLLC

Practice address

2616 N Loy Lake Rd
Suite a
Sherman, TX 75090-2535

Phone

(940) 736-0627

Fax

(903) 487-2306

NPI assigned

Oct 13, 2014

Organization subpart

No

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

Authorized official

Name

Karen S Steed, RNNPI 1225269475

Title

RN, Aprn

Phone

(940) 736-0627

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Innovative Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• Karen S. Steed, FNP

  • Family Nurse Practitioner
  • Sherman, TX
  • NPI 1225269475
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1265836704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 837",
            "city": "HOWE",
            "state": "TX",
            "postal_code": "754590837",
            "telephone_number": "940-736-0627",
            "fax_number": "903-487-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 N LOY LAKE RD",
            "address_2": "SUITE A",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902535",
            "telephone_number": "940-736-0627",
            "fax_number": "903-487-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL HEALTH AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "STEED",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "RN, APRN",
        "authorized_official_telephone_number": "940-736-0627",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "728437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212697101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jon Christian Fulkerson, LVN
• Full Life Primary Care PLLC
• Full Spectrum Laboratories LLC
• Miranda Fulmer
• Melissa Ann Fulton, LMSW
• Further Care Agency LLC
• G Dean Strobel MD PA
• Nicholas K Gachathi
• Marsha Gaddis
• Irene Gaines

• Family Nurse Practitioner in Sherman, TX
• Providers in Sherman, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.