Active NPI
Gracie Yvette Cooksey
- Acute Care Nurse Practitioner
- San Antonio, TX
National Provider Identifier
1417892803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1231988
- Practice address
- 520 Madison Oak Dr
San Antonio, TX 78258-3912 - Phone
- (210) 297-4000
- NPI assigned
- Apr 21, 2026
- Last updated
- Apr 21, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 1231988 | TX | |
| Acute Care Nurse Practitioner | 363LA2100X | 1231988 | TX | Primary |
Addresses
Primary practice location
520 Madison Oak Dr
San Antonio, TX 78258-3912
Mailing address
19500 Ih 10 W Stop 1-3030
San Antonio, TX 78257-9509
Phone (210) 955-6729
Other names 1
- Gracie Yvette Gonzales
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1231988 | TX | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1417892803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19500 IH 10 W STOP 1-3030",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782579509",
"telephone_number": "210-955-6729",
"fax_number": "877-479-3805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 MADISON OAK DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583912",
"telephone_number": "210-297-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOKSEY",
"first_name": "GRACIE",
"middle_name": "YVETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-21",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "1231988",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "1231988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GRACIE",
"last_name": "GONZALES",
"middle_name": "YVETTE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.