Active NPI
Functional Med Health Systems Management
- Internal Medicine Physician
- Terrell, TX
National Provider Identifier
1972080091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- FUNCTIONAL MED HEALTH SYSTEMS MANAGEMENT
- Practice address
- 9710 County Road 2426
Terrell, TX 75160-8825 - Phone
- (972) 977-0587
- Fax
- (877) 779-1769
- NPI assigned
- Jul 21, 2018
- 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
- Mrs. Brittney Marie Weber
- Title
- Chief Financial Officer
- Phone
- (972) 977-0587
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Nutrition Chiropractor | 111NN1001X | |||
| Sports Physician Chiropractor | 111NS0005X | |||
| Registered Dietitian | 133V00000X | |||
| Acupuncturist | 171100000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Health Educator | 174H00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | |||
| Skilled Nursing Facility | 314000000X |
Addresses
Primary practice location
9710 County Road 2426
Terrell, TX 75160-8825
Mailing address
PO Box 2498
Rockwall, TX 75087-8598
Phone (972) 877-9028
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1532131200000",
"number": "1972080091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2498",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750878598",
"telephone_number": "972-877-9028",
"fax_number": "877-779-1769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9710 COUNTY ROAD 2426",
"city": "TERRELL",
"state": "TX",
"postal_code": "751608825",
"telephone_number": "972-977-0587",
"fax_number": "877-779-1769"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUNCTIONAL MED HEALTH SYSTEMS MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-21",
"last_updated": "2018-07-21",
"status": "A",
"authorized_official_last_name": "WEBER",
"authorized_official_first_name": "BRITTNEY",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "972-977-0587",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Terrell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.