Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Providence Pediatric Functional Medicine, Pllc

Primary Care Clinic/Center in Asheboro, NC · enumerated 2026 · authorized official Nicole Anderson, Owner/Authorized Offician.

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

National Provider Identifier

1710810437

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Registry record

Entity type Organization (Type 2)

Legal business name Providence Pediatric Functional Medicine, Pllc

Practice address 610 N Fayetteville St Ste 102, Asheboro, NC, 27203

Phone (336) 233-7882

Enumeration date Jun 3, 2026

Last updated in NPPES Aug 1, 2026

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Nicole Anderson

Title Owner/Authorized Offician

Phone (336) 233-7882

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-08-01. Verify at npiregistry.cms.hhs.gov.

Where is Providence Pediatric Functional Medicine, Pllc located?

The practice location on file with NPPES is in Asheboro, NC.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-08-01.