Mary Zanco-Grayson, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

1-197836 Issued in AL

Practice address

8000 Madison Blvd # D102-141
Madison, AL 35758-2031

Phone

(256) 258-8412

NPI assigned

Nov 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1606521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1215531405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 MADISON BLVD # D102-141",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582031",
            "telephone_number": "256-258-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 MADISON BLVD # D102-141",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582031",
            "telephone_number": "256-258-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANCO-GRAYSON",
        "first_name": "MARY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-28",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R103620",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-197836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khurshid Yousuf, M.D.
• Musarrat Afroze Yousuf, M.D.
• Youth Villages
• Dana Zahran, CRNP
• Ranya Zahran, CRNP
• Rebecca Marie Zehnpfennig
• Kate Zeigler, DPT
• Xiaoyuan Zhu Mauldin, XIAOYUAN
• Katelyn Zimmer

• Adult Health Nurse Practitioner in Madison, AL
• Providers in Madison, AL by specialty
• Adult Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.