Individual provider Active NPI

Heather Grayson, AGNP

  • Adult Health Nurse Practitioner
  • Azle, TX
National Provider Identifier
1750879649
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP137382 Issued in TX
Practice address
807 Southeast Pkwy
Azle, TX 76020-3658
Phone
(817) 661-8197
Fax
(888) 227-6422
NPI assigned
Apr 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP137382 TX
Adult Health Nurse Practitioner 363LA2200X AP137382 TX Primary

Addresses

Primary practice location

807 Southeast Pkwy
Azle, TX 76020-3658

Mailing address

807 Southeast Pkwy
Azle, TX 76020-3658
Phone (817) 661-8197

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
I20180809004837 TX Practitioner - Nurse Practitioner 3274881081 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eagle Mountain Healthcare LLC 2 clinicians

Practice addresses (Care Compare)

807 Southeast Pkwy
Azle, TX 76020-3658
Phone 81766181973658

Hospital & facility affiliations

  • DFW Home Health Home health agency, Fort Worth, TX, CCN 457575
  • Texas Health Harris Methodist Hospital Azle Hospital, Azle, TX, CCN 450419

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP137382TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitas Health Services of Texas, P.a. CurrentSince Apr 6, 2020 Accepting new patients
Eagle Mountain Healthcare LLC Adult Health CurrentSince Feb 5, 2023 Accepting new patients
Christine Holland MD PA CurrentSince Dec 28, 2022 Accepting new patients

Locations

807 Southeast Pkwy
Azle, TX 76020
Phone (817) 661-8197

14651 Dallas Pkwy
Ste 811
Dallas, TX 75254

800 Medical Center Dr
Ste C
Decatur, TX 76234
Phone (940) 626-2110

6100 Western Pl
Ste 800
Ft Worth, TX 76107
Phone (817) 870-7070

Interoperability endpoints

  • Direct secure messaging: heather.grayson@emh-tx.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1750879649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 SOUTHEAST PKWY",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760203658",
            "telephone_number": "817-661-8197",
            "fax_number": "888-227-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 SOUTHEAST PKWY",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760203658",
            "telephone_number": "817-661-8197",
            "fax_number": "888-227-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYSON",
        "first_name": "HEATHER",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2024-06-11",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP137382",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP137382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Azle, TX

Sources for this page

Verify at the official NPI Registry.