Functional Medicine Center of Arizona
NPI 1235870205 · Health & Wellness Coach · Phoenix, AZ
Functional Medicine Center of Arizona is a Health & Wellness Coach organization in Phoenix, AZ (NPI 1235870205).
Provider details
- NPI number
- 1235870205
- Entity type
- Organization
- Primary specialty
- Health & Wellness CoachOther Service Providers
- Organization subpart
- No
- Authorized official
- Anthony Tiedemann, Owner/Clinical Director(480) 747-0499
Specialties & taxonomies
Other Service Providers
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Functional Healthcare Center
Registry dates
- Enumerated
- 2022-04-05
- Last updated
- 2022-04-05
- Certified
- 2022-04-04
Frequently asked questions
- What is Functional Medicine Center of Arizona's NPI number?
- Functional Medicine Center of Arizona's National Provider Identifier (NPI) is 1235870205, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Functional Medicine Center of Arizona?
- Functional Medicine Center of Arizona is classified in the NPPES registry as Health & Wellness Coach (Other Service Providers).
- Where is Functional Medicine Center of Arizona located?
- Functional Medicine Center of Arizona's practice location on file with NPPES is 806 S 56th Ave Ste 1b, Phoenix, AZ 85043-4630.
- What is Functional Medicine Center of Arizona's phone number?
- The practice phone number listed in the NPPES registry for Functional Medicine Center of Arizona is (602) 429-0447.
- Who is the authorized official for Functional Medicine Center of Arizona?
- The authorized official listed on Functional Medicine Center of Arizona's NPPES record is Anthony Tiedemann, Owner/Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Functional Medicine Center of Arizona's NPI active?
- Yes — Functional Medicine Center of Arizona's NPI (1235870205) is active in the NPPES registry as of the last update on 2022-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.