Active NPI
Function Nutrition & Wellness LLC
- Registered Dietitian
- Chillicothe, OH
National Provider Identifier
1336975838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- FUNCTION NUTRITION & WELLNESS LLC
- Practice address
- 55 Feather Cir
Chillicothe, OH 45601-7002 - Phone
- (937) 478-9170
- NPI assigned
- Sep 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Madeline Gerdes, RDN
- Title
- Owner
- Phone
- (937) 478-9170
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
55 Feather Cir
Chillicothe, OH 45601-7002
Mailing address
55 Feather Cir
Chillicothe, OH 45601-7002
Phone (937) 478-9170
National Provider Directory
National Provider DirectoryPractitioners & 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": "1726012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726012800000",
"number": "1336975838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 FEATHER CIR",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456017002",
"telephone_number": "937-478-9170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FEATHER CIR",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456017002",
"telephone_number": "937-478-9170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUNCTION NUTRITION & WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-11",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A",
"authorized_official_last_name": "GERDES",
"authorized_official_first_name": "MADELINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "937-478-9170",
"authorized_official_credential": "RDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chillicothe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.