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FUNCTIONAL HEALING, PLLC
NPI 1376349936
Nurse Practitioner - Family in Lake Jackson, TX

Active since February 24, 2025CLIA 45D2293833 · Waiver
207 THAT WAY ST STE C, LAKE JACKSON, TX 77566(979) 614-0115(979) 614-0116 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 11, 2026, Sep 1, 2025, Feb 24, 2025 (3 updates tracked since 2025).

About Functional Healing, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FUNCTIONAL HEALING, PLLC (NPI 1376349936) is a healthcare organization registered as a family in Lake Jackson, Texas and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through November 14, 2027 and lists Brandy Danielle Vandergrifft, Owner, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1376349936
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFUNCTIONAL HEALING, PLLC
Location Address207 THAT WAY ST STE CLake Jackson, TX 77566-5211
Mailing Address207 That Way St Ste CLake Jackson, TX 77566-5211 · (979) 614-0115 · Fax (979) 614-0116
Phone(979) 614-0115
Fax(979) 614-0116
Organization SubpartNo
Authorized OfficialBrandy Danielle VandergrifftOwner, Nurse Practitioner · (979) 614-0115
Enumeration DateFebruary 24, 2025
Last NPPES UpdateMarch 11, 20263 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1376349936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
207 THAT WAY ST STE C, Lake Jackson, TX 77566
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2293833

Functional Healing, PLLC · Lake Jackson, TX
Active · expires Nov 14, 2027
CLIA Number45D2293833
Laboratory TypePhysician Office
Certificate Effective DateNovember 15, 2025
Certificate Expiration DateNovember 14, 2027
Laboratory DirectorBrandy Vandergrifft
Laboratory Phone(979) 614-0115
Laboratory LocationFunctional Healing, PLLC207 That Way Street, Suite C, Lake Jackson, TX 77566
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOMEGROWN HEALTHCARE PLLC
Nurse Practitioner (Family)
207 THAT WAY ST STE C
LAKE JACKSON, TX 77566
Brazoria County (979) 614-0115
BRANDY VANDERGRIFFT APRN, FNP-C
Nurse Practitioner (Family)
207 THAT WAY ST STE C
LAKE JACKSON, TX 77566
Brazoria County (979) 614-0015
AUSTIN ATKINS PA-C
Physician Assistant (Medical)
207 THAT WAY ST STE C
LAKE JACKSON, TX 77566
Brazoria County (979) 614-0115
ASHLEY JILL WOODERSON FNP
Nurse Practitioner (Family)
207 THAT WAY ST STE C
LAKE JACKSON, TX 77566
Brazoria County (979) 614-0115
APHS HEALTHCARE SERVICES, INC.
Home Health
207 THAT WAY ST STE C
LAKE JACKSON, TX 77566
Brazoria County (979) 297-1515

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Functional Healing, PLLC's NPI number?

The NPI number for Functional Healing, PLLC is 1376349936. It was assigned to this organization in the NPPES registry on February 24, 2025.

Where is Functional Healing, PLLC located?

Functional Healing, PLLC is located at 207 That Way St Ste C, Lake Jackson, TX 77566. The listed phone number is (979) 614-0115.

What is Functional Healing, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Functional Healing, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2293833) is associated with this NPI, valid through November 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Functional Healing, PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Functional Healing, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Functional Healing, PLLC was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.