Deanna Carole Grenier-Mullins, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN 502181, NPF 7829 Issued in CA

Practice address

3801 Miranda Ave
HBPC-San Jose Clinic
Palo Alto, CA 94304-1207

Phone

(408) 363-3000

NPI assigned

Aug 10, 2006

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

Other names 1

• Ms. Deanna Carole Maples Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1558372292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 SILVER CREEK VALLEY RD # 171-3N5",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951381059",
            "telephone_number": "408-574-9173",
            "fax_number": "650-858-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MIRANDA AVE",
            "address_2": "HBPC-SAN JOSE CLINIC",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041207",
            "telephone_number": "408-363-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENIER-MULLINS",
        "first_name": "DEANNA",
        "middle_name": "CAROLE",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2023-03-07",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "RN 502181, NPF 7829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "MAPLES",
            "middle_name": "CAROLE",
            "prefix": "MS.",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tyler Greenway
• Victoria Rose Gregorio
• Peter B Gregory, M.D
• Tara Greiner, P.T.
• Karolina Grekov, MD
• Jeff Grenzke, RRT
• Lynn Gretkowski, MD
• Elizabeth R Greyber, MD
• Anya Theresa Griffin, PH.D.
• Brianna Marie Griffin, M.D.

• Adult Health Nurse Practitioner in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Adult Health Nurse Practitioner in California

• 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.
• 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.