Individual provider Active NPI

Cynthia Ann Graul, NP C

  • Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1144308529
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
733142 Issued in TX
Practice address
2835 Grand Ave
Dallas, TX 75215-1647
Phone
(214) 928-7724
Fax
(214) 928-7740
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 733142 TX Primary

Addresses

Primary practice location

2835 Grand Ave
Dallas, TX 75215-1647

Mailing address

2835 Grand Ave
Dallas, TX 75215-1647
Phone (214) 928-7724

Other identifiers 2

IdentifierTypeStateIssuer
8Y2062OtherTXBCBSTX
183266903MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cgraul218600@direct.sw.org

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
I20070201000255 TX Practitioner - Nurse Practitioner 5698777852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

4001 Worth St
Dallas, TX 75246-1608

Hospital & facility affiliations

  • Reliant at Home Home health agency, Plano, TX, CCN 679352
  • Paradigm Homecare Home health agency, Plano, TX, CCN 747818
  • Accentcare Home Health of McKinney Home health agency, McKinney, TX, CCN 679236

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Oct 24, 2018 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Healthtexas Provider Network CurrentSince Oct 24, 2018 Accepting new patients
Texas Outpatient Services PA Nurse Practitioner Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

4009 Worth St
Ste B
Dallas, TX 75246
Phone (214) 820-9115

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4009 Worth St
Dallas, TX 75246
Phone (214) 820-9115

4009 Worth St
Ste 200
Dallas, TX 75246

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

4004 Worth St
Dallas, TX 75246
Phone (214) 623-6830

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: cgraul218600@direct.sw.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1144308529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 GRAND AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752151647",
            "telephone_number": "214-928-7724",
            "fax_number": "214-928-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 GRAND AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752151647",
            "telephone_number": "214-928-7724",
            "fax_number": "214-928-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAUL",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "credential": "NP C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "733142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8Y2062",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183266903",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgraul218600@direct.sw.org",
            "affiliation": "N",
            "address_1": "4009 Worth St Ste B",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752461608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.