Organization Active NPI

Natural Health

Doing business as Functional Wellness

  • Nutritionist
  • Redlands, CA
National Provider Identifier
1861920720
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
NATURAL HEALTH
Doing business as
Functional Wellness
Practice address
112 E Olive Ave Ste F
Redlands, CA 92373-5281
Phone
(909) 810-0858
NPI assigned
May 23, 2017
Last updated
Sep 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Authorized official

Name
Mr. Jan Kielmann, MS, CNS, IFMCPNPI 1740647593
Title
President
Phone
(909) 810-0858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NU Primary
Nutrition Education Nutritionist 133NN1002X NU
Clinic/Center 261Q00000X NU
Health Service Clinic/Center 261QH0100X NU
Health Educator 174H00000X NU

Addresses

Primary practice location

112 E Olive Ave Ste F
Redlands, CA 92373-5281

Mailing address

10600 Highland Springs Ave
Cherry Valley, CA 92223-5548

Other names 1

  • Functional Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

10600 Highland Springs Ave
Cherry Valley, CA 92223

10 E Vine St
Ste 222
Redlands, CA 92373

112 E Olive Ave
Ste F
Redlands, CA 92373
Phone (909) 810-0858

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1861920720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 HIGHLAND SPRINGS AVE",
            "city": "CHERRY VALLEY",
            "state": "CA",
            "postal_code": "922235548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E OLIVE AVE STE F",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735281",
            "telephone_number": "909-810-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-23",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "KIELMANN",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-810-0858",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, CNS, IFMCP"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Functional Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.