Organization Active NPI

Function Nutrition & Wellness LLC

  • Registered Dietitian
  • Chillicothe, OH
National Provider Identifier
1336975838
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Madeline Gerdes, RDNNPI 1790526119
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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

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": "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.

Verify at the official NPI Registry.