FUNCTIONAL MEDICINE CENTER OF ARIZONA
NPI 1235870205
Health and Wellness Coach in Phoenix, AZ

NPI Status: Active since April 05, 2022

Contact Information

806 S 56TH AVE STE 1B
PHOENIX, AZ
ZIP 85043
Phone: (602) 429-0447

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  • Organization
  • Health and Wellness Coach

About FUNCTIONAL MEDICINE CENTER OF ARIZONA

This page provides the complete NPI Profile along with additional information for Functional Medicine Center Of Arizona, a provider established in Phoenix, Arizona operating as a Health And Wellness Coach. The healthcare provider is registered in the NPI registry with number 1235870205 assigned on April 2022. The practitioner's primary taxonomy code is 171400000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Anthony Tiedemann (Owner/clinical Director)

NPI
1235870205
Provider Name
FUNCTIONAL MEDICINE CENTER OF ARIZONA
Entity Type
Organization
Location Address
806 S 56TH AVE STE 1B PHOENIX, AZ 85043
Location Phone
(602) 429-0447
Mailing Address
806 S 56TH AVE STE 1B PHOENIX, AZ 85043
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-05-2022
Last Update Date
04-05-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Health and Wellness Coach

Taxonomy Code
171400000X
Type
Other Service Providers
Taxonomy Description
The Health & Wellness Coach is trained in motivational theories, strategies, and communication techniques, which are used to assist patients to develop intrinsic motivation and obtain skills to create sustainable change for improved health and well-being. Health and wellness coaching is a patient-centered approach wherein patients at least partially determine their goals, use self-discovery or active learning processes together with content education to work toward their goals, and self-monitor behaviors to increase accountability, all within the context of an interpersonal relationship with a coach.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANTHONY TIEDEMANN

Authorized Official Title
OWNER/CLINICAL DIRECTOR
Authorized Official Phone
(480) 747-0499

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1235870205, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 8 → 16 → 7 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 6 + 5 + 1 + 6 + 7 + 0 + 2 + 0 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1235870205.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Health and Wellness Coach
806 S 56TH AVE STE 1B
PHOENIX, AZ 85043
Specialist/Technologist, Other (EEG)
806 S 56TH AVE STE 1B
PHOENIX, AZ 85043

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235870205, enumerated as an "organization" on April 05, 2022.

The provider is located at 806 S 56TH AVE STE 1B PHOENIX, AZ 85043 and the phone number is (602) 429-0447.

Health and Wellness Coach with taxonomy code 171400000X.