Alyse Nicole Graul

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1141451 Issued in TX

Practice address

8611 N Mopac Expy Ste 200
Austin, TX 78759-8319

Phone

(737) 220-8200

NPI assigned

Nov 10, 2023

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

• Miss Alyse N Toth Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Texas Children's Physician Group

  • Pediatrics Physician
  • Houston, TX
  • NPI 1861675506
  Medicare reassignment NPD
• Texas Children's Hospital

  dba Texas Children's Hospital North Austin Campus

  • Children's Hospital
  • Austin, TX
  • NPI 1194507947
  NPD (past)

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1740054642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 FOUNDERS RDG",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786202019",
            "telephone_number": "121-948-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8611 N MOPAC EXPY STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598319",
            "telephone_number": "737-220-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAUL",
        "first_name": "ALYSE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1141451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSE",
            "last_name": "TOTH",
            "middle_name": "N",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Suzanne Hicks Grantham, PMHNP APRN BC
• Troy W. Gras, M.D.
• Rachel Grassity
• Patrick John Grathwohl Jr., M.D.
• Katherine Grau, LCSW
• Carlissa Leigh Gravel
• Clark Gravell, MD
• Janrai Gravely, D.C.
• Alexander Graves, CRNA
• Cariesa Graves, RN

• Pediatric Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.