Individual provider Active NPI

Mary G Gracia

  • Pediatric Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1144211806
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP105341 Issued in TX
Practice address
17026 Bulverde Rd Ste 105
San Antonio, TX 78247-3176
Phone
(210) 981-5543
Fax
(972) 980-3738
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP105341 TX Primary
Registered Nurse 163W00000X 525473 TX

Addresses

Primary practice location

17026 Bulverde Rd Ste 105
San Antonio, TX 78247-3176

Mailing address

1 Boone Rd
Bremerton, WA 98312-1894
Phone (360) 475-4426

Other practice location 1

14041 Northwest Blvd Ste 1
Corpus Christi, TX 78410-5138
Phone (361) 767-9963

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

State licenses

LicenseStateTypeSpecialty
525473TXMDRegistered Nurse
AP105341TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Almouie Pediatrics Past Accepting new patients
Topcare Medical Group Inc Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1144211806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BOONE RD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983121894",
            "telephone_number": "360-475-4426",
            "fax_number": "360-475-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17026 BULVERDE RD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473176",
            "telephone_number": "210-981-5543",
            "fax_number": "972-980-3738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14041 Northwest Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784105138",
            "country_code": "US",
            "telephone_number": "361-767-9963",
            "fax_number": "972-980-3738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRACIA",
        "first_name": "MARY",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2026-07-13",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP105341",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "525473",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.