Functional Nutrition & Wellness

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FUNCTIONAL NUTRITION & WELLNESS

Practice address

1200 Main St
Saint Cloud, WI 53079-1476

Phone

(920) 286-2800

NPI assigned

Jul 31, 2025

Organization subpart

No

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

Authorized official

Name

Cheryl Ann Paul, PANPI 1245296425

Title

Owner

Phone

(920) 286-2800

Specialties & licenses 1

Addresses

Other names 1

• Functional Nutrition & Wellnes Other name

Locations

Practitioners 1

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

• Cheryl A Paul, PA

  • Physician Assistant
  • Kohler, WI
  • NPI 1245296425
  NPD Authorized official

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

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1932082344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N2999 HONEYMOON HILL RD",
            "city": "NEW HOLSTEIN",
            "state": "WI",
            "postal_code": "530619727",
            "telephone_number": "920-286-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MAIN ST",
            "city": "SAINT CLOUD",
            "state": "WI",
            "postal_code": "530791476",
            "telephone_number": "920-286-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2625 Altona Ave",
            "address_purpose": "LOCATION",
            "city": "New Holstein",
            "state": "WI",
            "postal_code": "530619542",
            "country_code": "US",
            "telephone_number": "920-286-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FUNCTIONAL NUTRITION & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-286-2800",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Functional Nutrition & Wellnes",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Therese M. Burns, LPN
• Alexa Guelig, DC
• Kim Lynn Konen, RN
• MH Health Care Services, PC
• New Hope Center, Inc.
• Lindsey Marie Nielsen, RN

• Clinic/Center in Saint Cloud, WI
• Providers in Saint Cloud, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.