Individual provider Active NPI

Jessica Grigg

  • Family Nurse Practitioner
  • Spring Branch, TX
National Provider Identifier
1124831615
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1189442 Issued in TX
Practice address
18568 Forty Six Pkwy Ste 3001
Spring Branch, TX 78070-6885
Phone
(830) 438-9300
NPI assigned
Jan 29, 2025
Last updated
Jan 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1189442 TX Primary

Addresses

Primary practice location

18568 Forty Six Pkwy Ste 3001
Spring Branch, TX 78070-6885

Mailing address

18568 Forty Six Pkwy Ste 3001
Spring Branch, TX 78070-6885
Phone (830) 438-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250319001704 TX Practitioner - Nurse Practitioner 8921520990 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1189442TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Wellness, PLLC CurrentSince Mar 12, 2025 Accepting new patients

Locations

18568 Forty Six Pkwy
Ste 3001
Spring Branch, TX 78070
Phone (830) 438-9300

Interoperability endpoints

  • Direct secure messaging: jessica.grigg.1@27446.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1124831615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18568 FORTY SIX PKWY STE 3001",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706885",
            "telephone_number": "830-438-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18568 FORTY SIX PKWY STE 3001",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706885",
            "telephone_number": "830-438-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGG",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1189442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Branch, TX

Sources for this page

Verify at the official NPI Registry.