Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BLUE AGAVE FUNCTIONAL MEDICINE CLINIC PLLC
NPI 1063191138
General Practice in New Braunfels, TX

Q: What is Blue Agave Functional Medicine Clinic PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since July 14, 2023CLIA Certified · 2 labs

651 S BUSINESS IH 35 STE 730, NEW BRAUNFELS, TX 78130(830) 491-4040(830) 584-0995 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2026, Dec 24, 2025, Jun 28, 2024 and 3 more (6 updates tracked since 2023).

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About Blue Agave Functional Medicine Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE AGAVE FUNCTIONAL MEDICINE CLINIC PLLC (NPI 1063191138) is a healthcare organization registered as a general practice in New Braunfels, Texas and active in the NPI registry since July 2023. The organization holds 2 active CLIA laboratory certificates and lists Scott Knepper, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1063191138

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameBLUE AGAVE FUNCTIONAL MEDICINE CLINIC PLLC

Location Address651 S BUSINESS IH 35 STE 730New Braunfels, TX 78130-4794

Mailing Address651 S Business Ih 35 Ste 730New Braunfels, TX 78130-4794 · (830) 491-4040 · Fax (830) 584-0995

Phone(830) 491-4040

Fax(830) 584-0995

Organization SubpartNo

Authorized OfficialScott KnepperMedical Director · (512) 293-9800

Enumeration DateJuly 14, 2023

Last NPPES UpdateAugust 13, 20266 updates tracked since enumeration

NPPES CertifiedAugust 13, 2026

✔ NPI 1063191138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

651 S BUSINESS IH 35 STE 730, New Braunfels, TX 78130

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2322329

Blue Agave Functional Medicine Clinic PLLC · New Braunfels, TX

Active · expires Apr 17, 2027

CLIA Number45D2322329

Laboratory TypePhysician Office

Certificate Effective DateApril 18, 2025

Certificate Expiration DateApril 17, 2027

Laboratory DirectorScott P. Knepper

Laboratory Phone(830) 491-4040

Laboratory LocationBlue Agave Functional Medicine Clinic PLLC651 S Business Ih 35, Ste 730, New Braunfels, TX 78130

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2308068

Blue Agave Functional Medicine Clinic PLLC · New Braunfels, TX

Active · expires Jul 21, 2028

CLIA Number45D2308068

Laboratory TypePhysician Office

Certificate Effective DateJuly 22, 2026

Certificate Expiration DateJuly 21, 2028

Laboratory DirectorScott P. Knepper

Laboratory Phone(830) 491-4040

Laboratory LocationBlue Agave Functional Medicine Clinic PLLC3221 Commercial Cir Att Clia Lab Director, New Braunfels, TX 78132

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SCOTT P KNEPPER M.D.

General Practice

651 S BUSINESS IH 35 STE 730
NEW BRAUNFELS, TX 78130

Guadalupe County (830) 491-4040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Agave Functional Medicine Clinic PLLC's NPI number?

The NPI number for Blue Agave Functional Medicine Clinic PLLC is 1063191138. It was assigned to this organization in the NPPES registry on July 14, 2023.

Where is Blue Agave Functional Medicine Clinic PLLC located?

Blue Agave Functional Medicine Clinic PLLC is located at 651 S Business Ih 35 Ste 730, New Braunfels, TX 78130. The listed phone number is (830) 491-4040.

What is Blue Agave Functional Medicine Clinic PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Blue Agave Functional Medicine Clinic PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Blue Agave Functional Medicine Clinic PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Blue Agave Functional Medicine Clinic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blue Agave Functional Medicine Clinic PLLC was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.