Melissa Ann Granberry, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP131128 Issued in TX

Practice address

1830 Billy G Webb
Portland, TX 78374-3707

Phone

(361) 643-2518

Fax

(361) 643-2629

NPI assigned

Jun 13, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Coastal Children's Clinic PA

  • Pediatrics Physician
  • Corpus Christi, TX
  • NPI 1164471116
  Medicare reassignment NPD

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1487004297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 S KOSSUTH ST",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783824635",
            "telephone_number": "361-944-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 BILLY G WEBB",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783743707",
            "telephone_number": "361-643-2518",
            "fax_number": "361-643-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANBERRY",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Taylor Gawlik Reyes, FNP-BC
• Trisha Marie Goben
• Melissa Gomez Gonzales, OD
• Rosemary Gonzalez
• Jamie Goyer, FNP-C
• Lori Bohuslav Green, MS CCC/SLP
• Gregory-Portland Isd
• Charles C Gregory, DO PA
• Leisha Lynette Griffitt, LAT,ATC
• Gulf Coast Psychology PLLC (Mary Ann Gansle Sole MBR)

• Family Nurse Practitioner in Portland, TX
• Providers in Portland, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.