Individual provider Active NPI

Deanna S Gray, NP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1639194012
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP125708 Issued in TX
Practice address
5253 Prue Rd, Building 1
Ste 100C
San Antonio, TX 78240-1758
Phone
(210) 750-8100
Fax
(210) 750-8101
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 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 AP125708 TX Primary

Addresses

Primary practice location

5253 Prue Rd, Building 1
Ste 100C
San Antonio, TX 78240-1758

Mailing address

5253 Prue Rd, Building 1
Ste 100C
San Antonio, TX 78240-1161
Phone (210) 750-8100

Other identifiers 1

IdentifierTypeStateIssuer
847275MedicaidTX

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
I20150429001261 TX Practitioner - Nurse Practitioner 7517984420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Carenow Urgent Care PLLCGroup PAC ID 3274808043, 71 clinicians

Practice addresses (Care Compare)

8380 FM
Suite 78
Converse, TX 78109-1057
Phone (210) 610-0475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP125708TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Carenow Urgent Care PLLC CurrentSince Feb 23, 2026 Accepting new patients
LHCG Cxxxi, LLC Family CurrentSince Apr 8, 2024 Accepting new patients
Emergency Physician Associates of North Carolina, P.C. Past Accepting new patients
Onslow Memorial Hospital Inc Past Accepting new patients
Neurology and Neuroscience Associates, Inc. Past Accepting new patients
LHCG Cxvii, LLC PastSince Apr 8, 2024 Accepting new patients
Compassus Op of Texas LLC PastSince Jul 11, 2019 Accepting new patients

Locations

8380 FM 78
Converse, TX 78109
Phone (210) 610-0475

20780 US Highway 281 N
San Antonio, TX 78258
Phone (210) 963-8445

5253 Prue Rd
Ste 100C
San Antonio, TX 78240
Phone (210) 750-8100

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1639194012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5253 PRUE RD, BUILDING 1",
            "address_2": "STE 100C",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401161",
            "telephone_number": "210-750-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5253 PRUE RD, BUILDING 1",
            "address_2": "STE 100C",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401758",
            "telephone_number": "210-750-8100",
            "fax_number": "210-750-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "DEANNA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "847275",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.