FUNCTIONAL HEALTH CONSULTING LLC NPI 1790261444

NPI Information

NPI: 1790261444
Provider Name: FUNCTIONAL HEALTH CONSULTING, LLC
Classification: Chiropractor - 111NS0005X
Specialization: Sports Physician
Entity Type: Organization
Doing Business As: VIDA INTEGRATED HEALTH
CLIA Number: 50D2218337
Address: 11901 NE VILLAGE PLAZA, SUITE 261
KIRKLAND, WA
ZIP 98034
Phone: (425) 814-2800

Map and Directions

Get Directions

NPI Details

FUNCTIONAL HEALTH CONSULTING, LLC is a sports physician chiropractor in Kirkland, WA. The provider is a sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. FUNCTIONAL HEALTH CONSULTING, LLC NPI is 1790261444. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Vida Integrated Health.

The provider's business location address is:

11901 NE VILLAGE PLAZA, SUITE 261
KIRKLAND, WA
ZIP 98034-092
Phone: (425) 814-2800
Fax: (425) 823-0882

The provider's authorized official is Debbie Troxler .
The authorized official title is Credentialing Specialist and has the following contact phone number (425) 355-5222.

The CLIA number assigned to this NPI record is 50D2218337 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/16/2018 and was last updated on 8/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111NS0005X	Chiropractor	Sports Physician			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0395155	OTHER	WASHINGTON	WA DEPT OF LNI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI