Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Functional Medicine Center of Arizona

Health & Wellness Coach in Phoenix, AZ · enumerated 2022 · authorized official Anthony Tiedemann, Owner/Clinical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1235870205

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Registry record

Entity type Organization (Type 2)

Legal business name Functional Medicine Center of Arizona

Practice address 806 S 56th Ave Ste 1b, Phoenix, AZ, 85043

Phone (602) 429-0447

Enumeration date Apr 5, 2022

Last updated in NPPES Apr 5, 2022

Taxonomy & classification

171400000X Health & Wellness Coach Other Service Providers Primary

261Q00000X Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Anthony Tiedemann

Title Owner/Clinical Director

Phone (480) 747-0499

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Functional Medicine Center of Arizona?

Functional Medicine Center of Arizona is registered in NPPES as a Health & Wellness Coach (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Lica Sert EEG Specialist/Technologist · Phoenix, AZ NPI 1669920849 Anthony Tiedemann Health & Wellness Coach · Phoenix, AZ NPI 1538801709

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-04-05.