ADVANCED FUNCTIONAL HEALTH AND WELLNESS, LLC.
NPI 1366031973
Nurse Practitioner - Family in Frederick, MD
About Advanced Functional Health And Wellness, Llc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED FUNCTIONAL HEALTH AND WELLNESS, LLC. (NPI 1366031973) is a healthcare organization registered as a family in Frederick, Maryland and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through June 15, 2027 and lists Louis Gbone, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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 21D2227757
Advanced Functional Health And Wellness · Gaithersburg, MDFrequently 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 Advanced Functional Health And Wellness, LLC.'s NPI number?
The NPI number for Advanced Functional Health And Wellness, LLC. is 1366031973. It was assigned to this organization in the NPPES registry on January 18, 2021.
Where is Advanced Functional Health And Wellness, LLC. located?
Advanced Functional Health And Wellness, LLC. is located at 1003 W 7th St Ste B, Frederick, MD 21701. The listed phone number is (301) 966-2558.
What is Advanced Functional Health And Wellness, LLC.'s specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Advanced Functional Health And Wellness, LLC. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D2227757) is associated with this NPI, valid through June 15, 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 Advanced Functional Health And Wellness, LLC. was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Advanced Functional Health And Wellness, Llc. · NPI 1366031973
Family organization in Frederick, Maryland. Organization record, active in the CMS NPPES registry since January 18, 2021.
## Identity
- **NPI:** 1366031973 (Entity type: Organization)
- **Enumerated:** January 18, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Louis Gbone, MANAGER
## Practice location
- **Address:** 1003 W 7TH ST STE B, Frederick, MD 21701-4153
- **Phone:** (301) 966-2558
## Record status
- **NPPES last updated:** January 24, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1366031973) · Data from the CMS NPPES public registry.