Beth Funtal, FDNP, CCLC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

FDNP Issued in FL

Practice address

7604 Portosueno Ave
Bradenton, FL 34209-3363

Phone

(412) 512-0017

NPI assigned

Jun 1, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1780272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1538091806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7604 PORTOSUENO AVE",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093363",
            "telephone_number": "412-512-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7604 PORTOSUENO AVE",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093363",
            "telephone_number": "412-512-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNTAL",
        "first_name": "BETH",
        "credential": "FDNP, CCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": "FL",
            "license": "FDNP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa Rene Fullgrapp, PA-C
• Fullness of Life Counseling, LLC
• Carly Dion Fultz, PTA
• Functional Interventions Therapy, P.a.
• Susan Funk, OTR/L
• Fuo LLC
• FWC Urogynecology, LLC
• G & D Partners
• Loraine T Gabbard, APRN - AGPCNP
• Terri J Gable, ARNP

• Health & Wellness Coach in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Health & Wellness Coach in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.