1. Home
  2. Directory
  3. Ohio
  4. Zanesville
  5. Nurse Practitioner
  6. NPI Profile

FAMILY HEALTHCARE FUNCTIONAL MEDICINE LLC
NPI 1194605865
Nurse Practitioner - Family in Zanesville, OH

Active since September 04, 2025CLIA 36D2154454 · Waiver
921 LINDEN AVE, ZANESVILLE, OH 43701(740) 868-8428(740) 868-8390 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Family Healthcare Functional Medicine Llc NPPES

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

FAMILY HEALTHCARE FUNCTIONAL MEDICINE LLC (NPI 1194605865) is a healthcare organization registered as a family in Zanesville, Ohio and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through September 12, 2026 and lists Judean Leroy, Practice Owner/np, as its authorized official.

NPPES Registry Identity

NPI1194605865
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFAMILY HEALTHCARE FUNCTIONAL MEDICINE LLC
Location Address921 LINDEN AVEZanesville, OH 43701-3049
Mailing Address921 Linden AveZanesville, OH 43701-3049 · (740) 868-8428 · Fax (740) 868-8390
Phone(740) 868-8428
Fax(740) 868-8390
Organization SubpartNo
Authorized OfficialJudean LeroyPractice Owner/np · (740) 868-8428
Enumeration DateSeptember 4, 2025
Last NPPES UpdateOctober 3, 2025
NPPES CertifiedOctober 3, 2025
✔ NPI 1194605865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
921 LINDEN AVE, Zanesville, OH 43701
Open in Google Maps ↗

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

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 36D2154454

Family Healthcare Functional Medicine · Zanesville, OH
Active · expires Sep 12, 2026
CLIA Number36D2154454
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 13, 2024
Certificate Expiration DateSeptember 12, 2026
Laboratory DirectorJudean M. Leroy
Laboratory Phone(740) 868-8428
Laboratory LocationFamily Healthcare Functional Medicine921 Linden Avenue, Zanesville, OH 43701
CLIA data matches this NPI record on: Address 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. JUDEAN M LEROY NP
Nurse Practitioner (Family)
921 LINDEN AVE
ZANESVILLE, OH 43701
Muskingum County (740) 868-8428

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 Family Healthcare Functional Medicine LLC's NPI number?

The NPI number for Family Healthcare Functional Medicine LLC is 1194605865. It was assigned to this organization in the NPPES registry on September 4, 2025.

Where is Family Healthcare Functional Medicine LLC located?

Family Healthcare Functional Medicine LLC is located at 921 Linden Ave, Zanesville, OH 43701. The listed phone number is (740) 868-8428.

What is Family Healthcare Functional Medicine LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Family Healthcare Functional Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2154454) is associated with this NPI, valid through September 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Healthcare Functional Medicine LLC was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.