Patricia Ann Grantom, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

238530 Issued in TX

Practice address

6243 Fairmont Pkwy
Suite 202
Pasadena, TX 77505-4045

Phone

(281) 991-6403

Fax

(281) 991-6405

NPI assigned

Jun 6, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392249600000",
    "number": "1669675765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6243 FAIRMONT PKWY",
            "address_2": "SUITE 202",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775054045",
            "telephone_number": "281-991-6403",
            "fax_number": "281-991-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6243 FAIRMONT PKWY",
            "address_2": "SUITE 202",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775054045",
            "telephone_number": "281-991-6403",
            "fax_number": "281-991-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANTOM",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2014-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "238530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3197238",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosalva Gonzalez, LPC
• Anaisa Gordillo
• Gordon Sack MD PA
• Sonia Leigh Gornek, RD, LD
• Laurie Graham, CRC, LRC
• Kent Dwayne Gray, DC
• Stacy Trimble Grazak, P.T.
• Greater Houston Oral and Facial Surgery,PA
• Jason Greaud, CRNA
• Yolanda Ann Green

• Nurse Practitioner in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.