Functional Medicine of Idaho PC
NPI 1336656040 · Family Medicine Physician · Boise, ID
Functional Medicine of Idaho PC is a Family Medicine Physician organization in Boise, ID (NPI 1336656040).
Provider details
- NPI number
- 1336656040
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Samuel Warren, President(208) 385-7711
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Registry dates
- Enumerated
- 2018-01-03
- Last updated
- 2018-01-03
Frequently asked questions
- What is Functional Medicine of Idaho PC's NPI number?
- Functional Medicine of Idaho PC's National Provider Identifier (NPI) is 1336656040, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Functional Medicine of Idaho PC?
- Functional Medicine of Idaho PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Functional Medicine of Idaho PC located?
- Functional Medicine of Idaho PC's practice location on file with NPPES is 3858 N Garden Center Way Ste 100, Boise, ID 83703-5008.
- What is Functional Medicine of Idaho PC's phone number?
- The practice phone number listed in the NPPES registry for Functional Medicine of Idaho PC is (208) 385-7711.
- Who is the authorized official for Functional Medicine of Idaho PC?
- The authorized official listed on Functional Medicine of Idaho PC's NPPES record is Samuel Warren, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Functional Medicine of Idaho PC's NPI active?
- Yes — Functional Medicine of Idaho PC's NPI (1336656040) is active in the NPPES registry as of the last update on 2018-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.