Grace Trinidad McCormick, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

948573 Issued in TX

Practice address

602 W Semands St
Conroe, TX 77301-1867

Phone

(936) 756-5598

Fax

(936) 756-5974

NPI assigned

May 13, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Grace Gonzales Trinidad Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Advocate Pediatric Home Care LLC

  dba Aveanna Healthcare

  • Home Health Agency
  • Conroe, TX
  • NPI 1285937987
  NPD (past)

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1801452172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 KEEGAN HOLLOW LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773863325",
            "telephone_number": "281-904-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W SEMANDS ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011867",
            "telephone_number": "936-756-5598",
            "fax_number": "936-756-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "GRACE",
        "middle_name": "TRINIDAD",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "948573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "TRINIDAD",
            "middle_name": "GONZALES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karla McCauley, RN
• Melissa Dawn McClure, MA-CCC-SLP
• Breyon McConnell, M.S.
• Melanie E McConnell, PHARMD
• Jared Daniel McCormack
• Alice McCowan
• McCrae Management and Investments, LTD. (NewSound Hearing Aid Centers)
• Hope Elise McDonald, LM, CPM
• William Patrick McDonough, MD
• Tiago McDown

• Registered Nurse in Conroe, TX
• Providers in Conroe, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.