Individual provider Active NPI

Adrianna Nicholle Grant-Rojas

  • Psychiatric/Mental Health Nurse Practitioner
  • Freeport, TX
National Provider Identifier
1396402780
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1108257 Issued in TX
Practice address
905 N Gulf Blvd
Freeport, TX 77541-3907
Phone
(281) 824-1480
Fax
(281) 220-6407
NPI assigned
Nov 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11024778 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1108257 TX Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 925078 TX

Addresses

Primary practice location

905 N Gulf Blvd
Freeport, TX 77541-3907

Mailing address

6754 W FM 1161 Rd
Wharton, TX 77488-3751
Phone (979) 453-1476

Other practice location 1

1111 W Adoue St
Alvin, TX 77511-2718
Phone (281) 824-1480

Other practice location 2

6754 W Fm 1161 Rd
Wharton, TX 77488-3751
Phone (979) 453-1476

Other names 1

  • Mrs. Adrianna Nicholle Grant-Rojas Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL nikkiredd2013@yahoo.com Health Information Exchange (HIE)

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
I20231005000409 TX Practitioner - Nurse Practitioner 5890140248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1111 W Adoue St
Alvin, TX 77511-2718
Phone 28182414801594

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
925078TXMDPsychiatric/Mental Health Registered Nurse
11024778FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen F Austin Community Health Center,Inc CurrentSince Jul 5, 2023 Accepting new patients
Stephen F. Austin Community Health Center, Inc. CurrentSince Jul 5, 2023 Accepting new patients

Locations

1111 W Adoue St
Alvin, TX 77511
Phone 2818241480 ext. 1594

905 N Gulf Blvd
Freeport, TX 77541
Phone (979) 233-6297

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.

NPI Registry JSON

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

{
    "created_epoch": "1637452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1396402780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6754 W FM 1161 RD",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774883751",
            "telephone_number": "979-453-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N GULF BLVD",
            "city": "FREEPORT",
            "state": "TX",
            "postal_code": "775413907",
            "telephone_number": "281-824-1480",
            "fax_number": "281-220-6407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 W Adoue St",
            "address_purpose": "LOCATION",
            "city": "Alvin",
            "state": "TX",
            "postal_code": "775112718",
            "country_code": "US",
            "telephone_number": "281-824-1480",
            "fax_number": "281-220-6407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6754 W Fm 1161 Rd",
            "address_purpose": "LOCATION",
            "city": "Wharton",
            "state": "TX",
            "postal_code": "774883751",
            "country_code": "US",
            "telephone_number": "979-453-1476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT-ROJAS",
        "first_name": "ADRIANNA",
        "middle_name": "NICHOLLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-21",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11024778",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1108257",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "925078",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nikkiredd2013@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "6754 W Fm 1161 Rd",
            "city": "Wharton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774883751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ADRIANNA",
            "last_name": "GRANT-ROJAS",
            "middle_name": "NICHOLLE",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Freeport, TX

Sources for this page

Verify at the official NPI Registry.