Active NPI
Primary Care & Functional Medicine Consultants LLC
- Adult Health Clinical Nurse Specialist
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- Legal business name
- PRIMARY CARE & FUNCTIONAL MEDICINE CONSULTANTS LLC
- Doing business as
- Primary Care & Functional Medicine Consultants, LLC
- Practice address
- 508 Airport Rd Ste D
Panama City, FL 32405-4025 - Phone
- (850) 215-5930
- Fax
- (850) 353-7006
- NPI assigned
- Sep 13, 2022
- 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
- Yesenia Ramos, APRN
- Title
- Nurse Practitioner
- Phone
- (850) 215-5830
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | |||
| Primary Care Nurse Practitioner | 363LP2300X | |||
| Adult Health Clinical Nurse Specialist | 364SA2200X | Primary |
Addresses
Primary practice location
508 Airport Rd Ste D
Panama City, FL 32405-4025
Mailing address
508 Airport Rd Ste D
Panama City, FL 32405-4025
Phone (850) 215-5830
Other names 2
- Primary Care & Functional Medicine Consultants, LLC
- Functional Medicine & Holistic Wellness, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2270021 | Primary Care & Functional Medicine | Certificate of waiver | Oct 6, 2026 |
National Provider Directory
National Provider DirectoryLocations
508 Airport Rd
Ste D
Panama City, FL 32405
Phone (850) 215-5830
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Panama City, FL
- NPI 1356905665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766448000000",
"number": "1598487050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 AIRPORT RD STE D",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054025",
"telephone_number": "850-215-5830",
"fax_number": "850-353-7006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 AIRPORT RD STE D",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054025",
"telephone_number": "850-215-5930",
"fax_number": "850-353-7006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY CARE & FUNCTIONAL MEDICINE CONSULTANTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-13",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"status": "A",
"authorized_official_last_name": "RAMOS",
"authorized_official_first_name": "YESENIA",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "850-215-5830",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "364SA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Primary Care & Functional Medicine Consultants, LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Functional Medicine & Holistic Wellness, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.