Functional Health of Lancaster LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

FUNCTIONAL HEALTH OF LANCASTER LLC

Practice address

1695 Oregon Pike
Lancaster, PA 17601

Phone

(717) 490-6227

Fax

(833) 389-1700

NPI assigned

Mar 24, 2021

Last updated

Mar 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary E Regan, DNP, CRNPNPI 1134447998

Title

Owner/Provider

Phone

(717) 468-9182

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 2

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.

• Mary Elana Regan, MSN, RN, CRNP,FNP-BC

  • Family Nurse Practitioner
  • Lancaster, PA
  • NPI 1134447998
  Authorized official Same address or phone
• Rileigh Smith, CNS, LDN

  • Nutritionist
  • Dayton, MD
  • NPI 1700567120
  NPD (past)

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1982280319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 BARR BLVD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032303",
            "telephone_number": "717-468-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 OREGON PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17601",
            "telephone_number": "717-490-6227",
            "fax_number": "833-389-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL HEALTH OF LANCASTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "REGAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "717-468-9182",
        "authorized_official_credential": "DNP, CRNP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI IS SEARCHABLE BY OTHER INSURERS",
            "identifier": "1134447998",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lancaster",
            "affiliation": "N",
            "endpointDescription": "Secured Wireless",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1695 Oregon Pike",
            "city": "Lancaster",
            "state": "PA",
            "country_code": "US",
            "postal_code": "17601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julia Darlene Fuller, C.R.N.A.
• Rienna P Fulmer, PA-C
• Justin Alan Funck, PTA
• Function 1St, LLC
• Functional Freedom LLC
• Michael Eugene Funk, D.M.D.
• Roanne Norine Funk, LPC
• Wendell Lavern Funk, MD
• Cassandra Marie Furlong, MSW, LBS
• Duane E Furman, PA-C

• General Practice Physician in Lancaster, PA
• Providers in Lancaster, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.