What is Functional Medicine of Nevada PLLC's NPI number?

Functional Medicine of Nevada PLLC's National Provider Identifier (NPI) is 1003409319, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Functional Medicine of Nevada PLLC?

Functional Medicine of Nevada PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).

Where is Functional Medicine of Nevada PLLC located?

Functional Medicine of Nevada PLLC's practice location on file with NPPES is 6490 S Mccarran Blvd Ste 16, Reno, NV 89509-6165.

What is Functional Medicine of Nevada PLLC's phone number?

The practice phone number listed in the NPPES registry for Functional Medicine of Nevada PLLC is (208) 385-7711.

Who is the authorized official for Functional Medicine of Nevada PLLC?

The authorized official listed on Functional Medicine of Nevada PLLC's NPPES record is Sam Warren, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Functional Medicine of Nevada PLLC's NPI active?

Yes — Functional Medicine of Nevada PLLC's NPI (1003409319) is active in the NPPES registry as of the last update on 2021-02-17.

OrganizationActive

Functional Medicine of Nevada PLLC

NPI 1003409319 · Family Medicine Physician · Reno, NV

Functional Medicine of Nevada PLLC is a Family Medicine Physician organization in Reno, NV (NPI 1003409319).

Provider details

NPI number: 1003409319
Entity type: Organization
Primary specialty: Family Medicine PhysicianAllopathic & Osteopathic Physicians
Parent organization: Functional Medicine of Idaho PC
Organization subpart: Yes
Authorized official: Sam Warren, Ceo(208) 385-7711

Practice location

6490 S Mccarran Blvd Ste 16

Reno, NV 89509-6165

Phone: (208) 385-7711

Street-level locationGet directions

More NV providers

Mailing address

3858 N Garden Center Way Ste 100

Boise, ID 83703-5008

Specialties & taxonomies

Family Medicine PhysicianPrimary207Q00000X
Allopathic & Osteopathic Physicians

Profile Score

Established profile(63/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2021-02-17
Last updated: 2021-02-17
Certified: 2021-02-17

Frequently asked questions

What is Functional Medicine of Nevada PLLC's NPI number?: Functional Medicine of Nevada PLLC's National Provider Identifier (NPI) is 1003409319, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Functional Medicine of Nevada PLLC?: Functional Medicine of Nevada PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
Where is Functional Medicine of Nevada PLLC located?: Functional Medicine of Nevada PLLC's practice location on file with NPPES is 6490 S Mccarran Blvd Ste 16, Reno, NV 89509-6165.
What is Functional Medicine of Nevada PLLC's phone number?: The practice phone number listed in the NPPES registry for Functional Medicine of Nevada PLLC is (208) 385-7711.
Who is the authorized official for Functional Medicine of Nevada PLLC?: The authorized official listed on Functional Medicine of Nevada PLLC's NPPES record is Sam Warren, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Functional Medicine of Nevada PLLC's NPI active?: Yes — Functional Medicine of Nevada PLLC's NPI (1003409319) is active in the NPPES registry as of the last update on 2021-02-17.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions