Organization Active NPI

Functional Health and Wellness

  • Chiropractor
  • Worthington, MN
National Provider Identifier
1275267775
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FUNCTIONAL HEALTH AND WELLNESS
Practice address
906 3Rd Ave
Worthington, MN 56187-2386
Phone
(507) 343-0602
NPI assigned
Jul 12, 2022
Last updated
Jul 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Authorized official

Name
Paige Kinley, D.CNPI 1205585130
Title
Owner
Phone
(507) 370-7777

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
Chiropractor 111N00000X Primary

Addresses

Primary practice location

906 3Rd Ave
Worthington, MN 56187-2386

Mailing address

906 3Rd Ave
Worthington, MN 56187-2386

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://functionalhealthandwellness.janeapp.com/admin#schedule/staff/1/2022-07-10/2022-07-16

National Provider Directory

National Provider Directory

Locations

906 3rd Ave
Worthington, MN 56187
Phone (507) 343-0602

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1275267775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 3RD AVE",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561872386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 3RD AVE",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561872386",
            "telephone_number": "507-343-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "KINLEY",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-370-7777",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://functionalhealthandwellness.janeapp.com/admin#schedule/staff/1/2022-07-10/2022-07-16",
            "affiliation": "N",
            "address_1": "906 3rd Ave",
            "city": "Worthington",
            "state": "MN",
            "country_code": "US",
            "postal_code": "561872386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Worthington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.