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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BLUE AGAVE FUNCTIONAL MEDICINE LEANDER PLLC
NPI 1477478923
General Practice in Leander, TX

Active since August 12, 2026
311 S HIGHWAY 183, LEANDER, TX 78641(830) 491-4040(830) 584-0995 Get Directions Write a Review

NPPES record added: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blue Agave Functional Medicine Leander Pllc NPPES

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

BLUE AGAVE FUNCTIONAL MEDICINE LEANDER PLLC (NPI 1477478923), doing business as Blue Agave Functional Medicine Clinic, is a healthcare organization registered as a general practice in Leander, Texas and active in the NPI registry since August 2026. The organization lists Scott Knepper, Owner, as its authorized official.

NPPES Registry Identity

NPI1477478923
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBLUE AGAVE FUNCTIONAL MEDICINE LEANDER PLLC
Location Address311 S HIGHWAY 183Leander, TX 78641-1834
Mailing Address311 S Highway 183Leander, TX 78641-1834 · (830) 491-4040 · Fax (830) 584-0995
Phone(830) 491-4040
Fax(830) 584-0995
Organization SubpartNo
Authorized OfficialScott KnepperOwner · (830) 491-4040
Enumeration DateAugust 12, 2026
Last NPPES UpdateAugust 13, 2026
NPPES CertifiedAugust 13, 2026
✔ NPI 1477478923 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
311 S HIGHWAY 183, Leander, TX 78641
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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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS E. YTURRI PA
Physician Assistant
311 S HIGHWAY 183
LEANDER, TX 78641
Williamson County (512) 379-6090
CHRISTOPHER D. COLLINS, MD, PA
Dermatology
311 S HIGHWAY 183
LEANDER, TX 78641
Williamson County (210) 601-9013

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 Leander PLLC's NPI number?

The NPI number for Blue Agave Functional Medicine Leander PLLC is 1477478923. It was assigned to this organization in the NPPES registry on August 12, 2026. The provider is doing business as Blue Agave Functional Medicine Clinic.

Where is Blue Agave Functional Medicine Leander PLLC located?

Blue Agave Functional Medicine Leander PLLC is located at 311 S Highway 183, Leander, TX 78641. The listed phone number is (830) 491-4040.

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

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

When was this NPI record last updated?

The NPPES record for Blue Agave Functional Medicine Leander 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 6 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.