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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 BULVERDE PLLC
NPI 1215888573
General Practice in Spring Branch, TX

Active since February 04, 2026CLIA Certified · 2 labs
20475 HIGHWAY 46 W STE 350, SPRING BRANCH, TX 78070(830) 491-4040(833) 468-5420 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 13, 2026, Feb 4, 2026 (2 updates tracked since 2026).

About Blue Agave Functional Medicine Bulverde Pllc NPPES

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

BLUE AGAVE FUNCTIONAL MEDICINE BULVERDE PLLC (NPI 1215888573), doing business as Blue Agave Functional Medicine Clinic, is a healthcare organization registered as a general practice in Spring Branch, Texas and active in the NPI registry since February 2026. The organization holds 2 active CLIA laboratory certificates and lists Scott Patrick Knepper, Manager, as its authorized official.

NPPES Registry Identity

NPI1215888573
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBLUE AGAVE FUNCTIONAL MEDICINE BULVERDE PLLC
Location Address20475 HIGHWAY 46 W STE 350Spring Branch, TX 78070-6147
Mailing Address20475 Highway 46 W Ste 350Spring Branch, TX 78070-6147 · (830) 491-4040 · Fax (833) 468-5420
Phone(830) 491-4040
Fax(833) 468-5420
Organization SubpartNo
Authorized OfficialScott Patrick KnepperManager · (512) 293-9800
Enumeration DateFebruary 4, 2026
Last NPPES UpdateAugust 13, 20262 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1215888573 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
20475 HIGHWAY 46 W STE 350, Spring Branch, TX 78070
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Other Names 1

Doing Business AsBlue Agave Functional Medicine Clinic

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 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 45D2347105

Blue Agave Functional Medicine Clinic · Bulverde, TX
Active · expires Jul 12, 2028
CLIA Number45D2347105
Laboratory TypePhysician Office
Certificate Effective DateJuly 13, 2026
Certificate Expiration DateJuly 12, 2028
Laboratory DirectorScott P. Knepper
Laboratory Phone(830) 491-4040
Laboratory LocationBlue Agave Functional Medicine Clinic20475 State Hwy 46 W Ste 350, Bulverde, TX 78163
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2347106

Blue Agave Functional Medicine Clinic · Boerne, TX
Active · expires Jul 12, 2028
CLIA Number45D2347106
Laboratory TypePhysician Office
Certificate Effective DateJuly 13, 2026
Certificate Expiration DateJuly 12, 2028
Laboratory DirectorScott P. Knepper
Laboratory Phone(830) 491-4040
Laboratory LocationBlue Agave Functional Medicine Clinic5 Coughran Rd Ste 101, Boerne, TX 78006
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.

JONELL KAY ODOM APRN
Nurse Practitioner (Family)
20475 HIGHWAY 46 W STE 350
SPRING BRANCH, TX 78070
Comal 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 Bulverde PLLC's NPI number?

The NPI number for Blue Agave Functional Medicine Bulverde PLLC is 1215888573. It was assigned to this organization in the NPPES registry on February 4, 2026. The provider is doing business as Blue Agave Functional Medicine Clinic.

Where is Blue Agave Functional Medicine Bulverde PLLC located?

Blue Agave Functional Medicine Bulverde PLLC is located at 20475 Highway 46 W Ste 350, Spring Branch, TX 78070. The listed phone number is (830) 491-4040.

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

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

Does Blue Agave Functional Medicine Bulverde 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.

When was this NPI record last updated?

The NPPES record for Blue Agave Functional Medicine Bulverde 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 41 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.