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FUNCTIONAL FAMILY MEDICINE
NPI 1932509403
Clinical Nurse Specialist - Family Health in Albuquerque, NM

Active since September 02, 2014
7301 JEFFERSON ST NE STE G, ALBUQUERQUE, NM 87109(505) 225-4044(505) 508-5284 Get Directions Write a Review

NPPES record last updated: September 2, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Functional Family Medicine NPPES

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

FUNCTIONAL FAMILY MEDICINE (NPI 1932509403) is a healthcare organization registered as a family health in Albuquerque, New Mexico and active in the NPI registry since September 2014. The organization lists Camille Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1932509403
Entity TypeOrganization
Primary Taxonomy364SF0001X
Legal Business NameFUNCTIONAL FAMILY MEDICINE
Location Address7301 JEFFERSON ST NE STE GAlbuquerque, NM 87109-4363
Mailing Address7301 Jefferson St Ne Ste GAlbuquerque, NM 87109-4363 · (505) 225-4044 · Fax (505) 508-5284
Phone(505) 225-4044
Fax(505) 508-5284
Organization SubpartNo
Authorized OfficialCamille JohnsonOwner · (505) 550-1183
Enumeration DateSeptember 2, 2014
✔ NPI 1932509403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Family HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SF0001X
7301 JEFFERSON ST NE STE G, Albuquerque, NM 87109
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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

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

MATTHEW J MOODY FNP
Nurse Practitioner (Family)
7301 JEFFERSON ST NE STE G
ALBUQUERQUE, NM 87109
Bernalillo County (505) 922-9800

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 Functional Family Medicine's NPI number?

The NPI number for Functional Family Medicine is 1932509403. It was assigned to this organization in the NPPES registry on September 2, 2014.

Where is Functional Family Medicine located?

Functional Family Medicine is located at 7301 Jefferson St NE Ste G, Albuquerque, NM 87109. The listed phone number is (505) 225-4044.

What is Functional Family Medicine's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Family Health, with taxonomy code 364SF0001X.

When was this NPI record last updated?

The NPPES record for Functional Family Medicine was last updated on September 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.