Active NPI
Functional Healing, PLLC
- Family Nurse Practitioner
- Lake Jackson, TX
National Provider Identifier
1376349936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- FUNCTIONAL HEALING, PLLC
- Practice address
- 207 That Way St Ste C
Lake Jackson, TX 77566-5211 - Phone
- (979) 614-0115
- Fax
- (979) 614-0116
- NPI assigned
- Feb 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandy Danielle Vandergrifft, NP
- Title
- Owner, Nurse Practitioner
- Phone
- (979) 614-0115
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
207 That Way St Ste C
Lake Jackson, TX 77566-5211
Mailing address
207 That Way St Ste C
Lake Jackson, TX 77566-5211
Phone (979) 614-0115
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Lake Jackson, TX
- NPI 1336746981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773187200000",
"number": "1376349936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 THAT WAY ST STE C",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775665211",
"telephone_number": "979-614-0115",
"fax_number": "979-614-0116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 THAT WAY ST STE C",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775665211",
"telephone_number": "979-614-0115",
"fax_number": "979-614-0116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUNCTIONAL HEALING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-24",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A",
"authorized_official_last_name": "VANDERGRIFFT",
"authorized_official_first_name": "BRANDY",
"authorized_official_middle_name": "DANIELLE",
"authorized_official_title_or_position": "OWNER, NURSE PRACTITIONER",
"authorized_official_telephone_number": "979-614-0115",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Jackson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.