Individual provider Active NPI

Judith Elaine Gros, N.P.

  • Obstetrics & Gynecology Nurse Practitioner
  • San Marcos, TX
National Provider Identifier
1063732402
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
249146 Issued in TX
Practice address
101 Uhland Rd
Suite 107
San Marcos, TX 78666-6630
Phone
(512) 392-1161
Fax
(512) 392-3530
NPI assigned
Jun 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 249146 TX Primary

Addresses

Primary practice location

101 Uhland Rd
Suite 107
San Marcos, TX 78666-6630

Mailing address

PO Box 748
San Marcos, TX 78667-0748
Phone (512) 392-1161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
249146TXMDObstetrics & Gynecology Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1063732402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786670748",
            "telephone_number": "512-392-1161",
            "fax_number": "512-392-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 UHLAND RD",
            "address_2": "SUITE 107",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666630",
            "telephone_number": "512-392-1161",
            "fax_number": "512-392-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROS",
        "first_name": "JUDITH",
        "middle_name": "ELAINE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "TX",
            "license": "249146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.