Precision Health Family Functional Medicine, PA, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

CNP101009 Issued in ME

Legal business name

PRECISION HEALTH FAMILY FUNCTIONAL MEDICINE, PA, LLC

Practice address

10 Plaza Dr Ste 203
Scarborough, ME 04074-1801

Phone

(207) 219-8445

Fax

(888) 965-0540

NPI assigned

Aug 17, 2018

Organization subpart

No

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

Authorized official

Name

Annette Bonnie Mueller, FNP-BCNPI 1417130089

Title

Owner, Medical Director

Phone

(207) 219-8446

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Annette Bonnie Mueller, FNP-BC

  • Family Nurse Practitioner
  • Falmouth, ME
  • NPI 1417130089
  NPD (past) Authorized official

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1508346750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PLAZA DR STE 203",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040741801",
            "telephone_number": "207-219-8445",
            "fax_number": "888-965-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PLAZA DR STE 203",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040741801",
            "telephone_number": "207-219-8445",
            "fax_number": "888-965-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION HEALTH FAMILY FUNCTIONAL MEDICINE, PA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "BONNIE",
        "authorized_official_title_or_position": "OWNER, MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "207-219-8446",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "ME",
            "license": "CNP101009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Port City Neurology
• Jordan S Porter, DNP
• James B. Powers, M.D.
• Mary B. Powers, PHYSICAL THERAPIST
• Ashley Pratt, CNP
• Preferred Future Therapy LLC
• Kari Price-Cain
• Brittany Price
• Kelly Price, PTA
• Melissa Kaitlin Price, MA CCC-SLP

• Medical Specialty Clinic/Center in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Medical Specialty Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.