Individual provider Active NPI

Sarah E Grady, NP

  • Nurse Practitioner
  • Denison, TX
National Provider Identifier
1215414172
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP137996 Issued in TX
Practice address
5012 S US Highway 75 Ste 110
Denison, TX 75020-4596
Phone
(903) 416-6200
Fax
(903) 416-6201
NPI assigned
Jul 24, 2018
Last updated
Apr 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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 AP137996 TX Primary

Addresses

Primary practice location

5012 S US Highway 75 Ste 110
Denison, TX 75020-4596

Mailing address

5012 S US Hwy 75
Suite 300, Attn Billing
Denison, TX 75020-4587
Phone (903) 416-6200

Other practice location 1

260 E Evergreen St
Sherman, TX 75090-5056
Phone (903) 870-1080

Other practice location 2

5012 S US Highway 75 Ste 300
Denison, TX 75020
Phone (903) 416-6200

Other practice location 3

5012 S US Highway 75 Ste 300
Denison, TX 75020
Phone (903) 416-6200

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP137996TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texoma Physicians Group, PLLC Past Accepting new patients

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": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1215414172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 S US HWY 75",
            "address_2": "SUITE 300, ATTN BILLING",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204587",
            "telephone_number": "903-416-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75 STE 110",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204596",
            "telephone_number": "903-416-6200",
            "fax_number": "903-416-6201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 E Evergreen St",
            "address_purpose": "LOCATION",
            "city": "Sherman",
            "state": "TX",
            "postal_code": "750905056",
            "country_code": "US",
            "telephone_number": "903-870-1080",
            "fax_number": "903-892-0378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5012 S US Highway 75 Ste 300",
            "address_purpose": "LOCATION",
            "city": "Denison",
            "state": "TX",
            "postal_code": "75020",
            "country_code": "US",
            "telephone_number": "903-416-6200",
            "fax_number": "903-416-6201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5012 S US Highway 75 Ste 300",
            "address_purpose": "LOCATION",
            "city": "Denison",
            "state": "TX",
            "postal_code": "75020",
            "country_code": "US",
            "telephone_number": "903-416-6200",
            "fax_number": "903-416-6201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRADY",
        "first_name": "SARAH",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP137996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.