Active NPI
Mary L Grose, FNP
- Family Nurse Practitioner
- Rockdale, TX
National Provider Identifier
1487697280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 224242
- Practice address
- 1700 Brazos Ave
Rockdale, TX 76567-2517 - Phone
- (512) 446-4500
- Fax
- (512) 446-2063
- NPI assigned
- Jun 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 224242 | TX | Primary |
Addresses
Primary practice location
1700 Brazos Ave
Rockdale, TX 76567-2517
Mailing address
PO Box 1010
Rockdale, TX 76567-1010
Phone (512) 446-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L0136474 | Other | TX | DPS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frank S. Floca | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1487697280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1010",
"city": "ROCKDALE",
"state": "TX",
"postal_code": "765671010",
"telephone_number": "512-446-4500",
"fax_number": "512-446-2063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 BRAZOS AVE",
"city": "ROCKDALE",
"state": "TX",
"postal_code": "765672517",
"telephone_number": "512-446-4500",
"fax_number": "512-446-2063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSE",
"first_name": "MARY",
"middle_name": "L",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "224242",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPS",
"identifier": "L0136474",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockdale, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.