Grace Param Canlapan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP139552 Issued in TX

Practice address

4502 Medical Dr
San Antonio, TX 78229-4402

Phone

(210) 358-4000

Fax

(210) 450-4903

NPI assigned

Dec 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Grace Montemayor Param Former name

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Advanced Clinician Multispecialty Clinical Consultant Services PLLCGroup PAC ID 5597078550, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Health System Hospital, San Antonio, TX, CCN 450213

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gcanlapan50997@uhssa.direct-ci.com

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.

• Advanced Clinician, Multispecialty Clinical Consultant Services, PLLC

  • Acute Care Nurse Practitioner
  • San Antonio, TX
  • NPI 1679908602

  TX

  Medicare reassignment Care Compare group NPD
• Community Medicine Associates

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1245313329

  TX

  Medicare reassignment NPD
• University of Texas Health Science Center at San Antonio

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1720051717

  TX

  Medicare reassignment NPD
• The University of Texas Health Science Center at San Antonio

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1326829904
  NPD
• University of Texas Health Science Center at San Antonio

  • Dental Clinic/Center
  • San Antonio, TX
  • NPI 1760424873
  NPD

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

• Bexar County Hospital District

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1821011248

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1544659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1174094486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294402",
            "telephone_number": "210-358-4000",
            "fax_number": "210-450-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294402",
            "telephone_number": "210-358-4000",
            "fax_number": "210-450-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANLAPAN",
        "first_name": "GRACE",
        "middle_name": "PARAM",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-13",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "396606101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "396606102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "PARAM",
            "middle_name": "MONTEMAYOR",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Frank Canedy
• Maria Concepcion Caballes Canete
• Ellen Callueng Cangco, RN
• Nicole Cange, BCBA
• Kayleigh Cristina Caniglia, LPC
• Mary Rose Canlas, DO
• John Edward Cannell, PH.D.
• Alessandra Cristina Rose Cannon, LPC
• Aren Leigh Cannon
• Chad Jacob Cannon, D.C.

• All providers in San Antonio, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.