Active NPI
Slovakia McGruder
- Nurse Practitioner
- Mansfield, TX
National Provider Identifier
1720645641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP141913
- Practice address
- 101 W Dallas St
Mansfield, TX 76063-1940 - Phone
- (214) 339-2221
- NPI assigned
- May 27, 2019
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP141913 | TX | Primary |
Addresses
Primary practice location
101 W Dallas St
Mansfield, TX 76063-1940
Mailing address
101 W Dallas St
Mansfield, TX 76063-1940
Phone (214) 339-2221
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP141913 | TX | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1720645641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W DALLAS ST",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760631940",
"telephone_number": "214-339-2221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W DALLAS ST",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760631940",
"telephone_number": "214-339-2221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGRUDER",
"first_name": "SLOVAKIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-27",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP141913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.