Providence Pediatric Functional Medicine, PLLC
NPI 1710810437 · Primary Care Clinic/Center · Asheboro, NC
Providence Pediatric Functional Medicine, PLLC is a Primary Care Clinic/Center organization in Asheboro, NC (NPI 1710810437).
Provider details
- NPI number
- 1710810437
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nicole Anderson, Owner/Authorized Offician(336) 233-7882
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
- 2026-06-03
- Last updated
- 2026-06-06
- Certified
- 2026-06-06
Frequently asked questions
- What is Providence Pediatric Functional Medicine, PLLC's NPI number?
- Providence Pediatric Functional Medicine, PLLC's National Provider Identifier (NPI) is 1710810437, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Pediatric Functional Medicine, PLLC?
- Providence Pediatric Functional Medicine, PLLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Providence Pediatric Functional Medicine, PLLC located?
- Providence Pediatric Functional Medicine, PLLC's practice location on file with NPPES is 610 N Fayetteville St Ste 102, Asheboro, NC 27203-4671.
- What is Providence Pediatric Functional Medicine, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Pediatric Functional Medicine, PLLC is (336) 233-7882.
- Who is the authorized official for Providence Pediatric Functional Medicine, PLLC?
- The authorized official listed on Providence Pediatric Functional Medicine, PLLC's NPPES record is Nicole Anderson, Owner/Authorized Offician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Pediatric Functional Medicine, PLLC's NPI active?
- Yes — Providence Pediatric Functional Medicine, PLLC's NPI (1710810437) is active in the NPPES registry as of the last update on 2026-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.