AURORA AESTHETICS AND FUNCTIONAL MEDICINE CLINIC, PLLC
NPI 1184231979
Clinic/Center - Primary Care in Mount Vernon, IA
About Aurora Aesthetics And Functional Medicine Clinic, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AURORA AESTHETICS AND FUNCTIONAL MEDICINE CLINIC, PLLC (NPI 1184231979), doing business as Aurora Functional Medicine & Aesthetics Clinic, is a healthcare organization registered as a primary care in Mount Vernon, Iowa and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through February 10, 2027 and lists Stephanie M Friess, Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
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 16D2213350
Aurora Aesthetics And Functional Medicine, PLLC · Mount Vernon, IAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Aurora Aesthetics And Functional Medicine Clinic, PLLC's NPI number?
The NPI number for Aurora Aesthetics And Functional Medicine Clinic, PLLC is 1184231979. It was assigned to this organization in the NPPES registry on September 25, 2020. The provider is doing business as Aurora Functional Medicine & Aesthetics Clinic.
Where is Aurora Aesthetics And Functional Medicine Clinic, PLLC located?
Aurora Aesthetics And Functional Medicine Clinic, PLLC is located at 713 1st Ave NW, Mount Vernon, IA 52314. The listed phone number is (907) 350-7228.
What is Aurora Aesthetics And Functional Medicine Clinic, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Aurora Aesthetics And Functional Medicine Clinic, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 16D2213350) is associated with this NPI, valid through February 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Aurora Aesthetics And Functional Medicine Clinic, PLLC was last updated on September 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Aurora Aesthetics And Functional Medicine Clinic, Pllc · NPI 1184231979
Primary Care organization in Mount Vernon, Iowa. Organization record, active in the CMS NPPES registry since September 25, 2020.
## Identity
- **NPI:** 1184231979 (Entity type: Organization)
- **Enumerated:** September 25, 2020
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Aurora Functional Medicine & Aesthetics Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Stephanie Friess, PARTNER
## Practice location
- **Address:** 713 1ST AVE NW, Mount Vernon, IA 52314-1478
- **Phone:** (907) 350-7228
## Record status
- **NPPES last updated:** September 25, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184231979) · Data from the CMS NPPES public registry.