Active NPI
Mary G Gracia
- Pediatric Nurse Practitioner
- San Antonio, TX
National Provider Identifier
1144211806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP105341
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 525473 | TX | MD | Registered Nurse |
| AP105341 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Pediatrics Physician
- Corpus Christi, TX
- NPI 1881742575
-
- Specialist
- Dallas, TX
- NPI 1730337163
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.