Individual provider Active NPI

Gloriane Bond Hargrave, MSN, APRN,FNP-BC

  • Family Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1437279791
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP106104 Issued in TX
Practice address
701 E Davis St
Ste a
Conroe, TX 77301-3102
Phone
(409) 766-1888
Fax
(936) 539-4668
NPI assigned
Mar 30, 2007
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP106104 TX Primary

Addresses

Primary practice location

701 E Davis St
Ste a
Conroe, TX 77301-3102

Mailing address

76 Orinda Dr
Conroe, TX 77304-1118

Other practice location 1

76 Orinda Dr Ste 470
Conroe, TX 77304-1118
Phone (713) 965-3359

Other identifiers 2

IdentifierTypeStateIssuer
144410102MedicaidTX
144410101MedicaidTX

Other names 1

  • Gloriane Bond Former name

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
I20240724002677 TX Practitioner - Nurse Practitioner 6204372428 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice CurrentSince Jul 22, 2024 Accepting new patients
University of Texas Medical Branch at Galveston PastSince Jul 22, 2024 Accepting new patients

Locations

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

195 N 11th St
Beaumont, TX 77702
Phone (409) 838-0045

701 E Davis St
Ste A
Conroe, TX 77301
Phone (936) 525-2800

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

9300 Emmett F Lowry Expy
Ste 138
Texas City, TX 77591
Phone (409) 486-9686

Interoperability endpoints

  • Direct secure messaging: ghargrave65782@direct.utmb.edu

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, 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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1437279791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 ORINDA DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E DAVIS ST",
            "address_2": "STE A",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773013102",
            "telephone_number": "409-766-1888",
            "fax_number": "936-539-4668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 Orinda Dr Ste 470",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773041118",
            "country_code": "US",
            "telephone_number": "713-965-3359",
            "fax_number": "832-825-5241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARGRAVE",
        "first_name": "GLORIANE",
        "middle_name": "BOND",
        "credential": "MSN, APRN,FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP106104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144410102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144410101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORIANE",
            "last_name": "BOND",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.