HEATHER GRAYSON (NPI# 1750879649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750879649 |
| Entity Type | Individual |
| Full Name | HEATHER GRAYSON |
| Credential | AGNP |
| Practice Address |
6100 Western Pl Ste 800 Ft Worth TX 76107-4679 |
| Practice Telephone | 7786848278 |
| Mailing Telephone | 7786848278 |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2020-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP137382 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP137382 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679981294 | Heather Grayson | Nurse Practitioner | 300 Pavilion Rd, West Monroe, LA 71292-9470 | 2014-07-28 |
| Street Address |
6100 WESTERN PL STE 800 |
| City | FT WORTH |
| State | TX |
| Zip Code | 76107-4679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124014089 | Sara C Michael | Nurse Practitioner | 6100 Western Pl Ste 800, Ft Worth, TX 76107-4679 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699192260 | Lisa Perez | Nurse Practitioner | 2208 Lipscomb St, Ft Worth, TX 76110-2049 | 2014-03-21 |
| 1285779579 | Terrie Lynn Estes | Nurse Practitioner | 1350 S Main St Ste 3300, John Peter Smith Hospital Hospital Discharge Clinic, Ft Worth, TX 76104-7655 | 2007-02-21 |
| 1508317207 | Randi Horne | Nurse Practitioner | 2421 W 7th St, Suite 205, Ft Worth, TX 76107-2305 | 2016-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275778 | Anel Odette Chavez | Nurse Practitioner | 1006 Sage Ln, Edinburg, TX 78539-7820 | 2020-11-04 |
| 1104427335 | Randel Bond | Nurse Practitioner | 337 Woodstone Loop, Cibolo, TX 78108-3268 | 2020-11-04 |
| 1467051870 | Melinda Davis-mcclendon | Nurse Practitioner | 2158 River Edge Dr, Belton, TX 76513-1429 | 2020-10-19 |
| 1053910489 | Morgan Lee Lemoine | Nurse Practitioner | 1811 Stephen Dr, Wylie, TX 75098-0258 | 2020-10-17 |
| 1255939740 | Melissa Walles George | Nurse Practitioner | 941 Scotland Dr, Desoto, TX 75115-2058 | 2020-10-15 |
| 1487251377 | Karen Baricaua Bautista | Nurse Practitioner | 1912 78th St, Lubbock, TX 79423-2455 | 2020-10-05 |
| 1205443132 | Rincy P Mathew | Nurse Practitioner | 10935 Estate Ln Ste 400, Dallas, TX 75238-5110 | 2020-09-24 |
| 1326654724 | Connie Sue Fiser | Nurse Practitioner | 248 Cass Cir, Flint, TX 75762-6990 | 2020-09-21 |
| 1588279525 | Marquita Michelle Pickens | Nurse Practitioner | 6817 Historic Vw, Dallas, TX 75236-0109 | 2020-09-15 |
| 1033723184 | Rita Chibuzor Nwajei | Nurse Practitioner | 2726 Atlas Dr, Missouri City, TX 77459-6745 | 2020-09-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.