Active NPI
Daniella Deona Grantham, WHNP
- Women's Health Nurse Practitioner
- Corpus Christi, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- AP108955
- Practice address
- 7121 S Padre Island Dr
Ste 200
Corpus Christi, TX 78412-4940 - Phone
- (361) 993-6000
- Fax
- (361) 993-3676
- NPI assigned
- May 28, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 559826 | TX | |
| Women's Health Nurse Practitioner | 363LW0102X | AP108955 | TX | Primary |
Addresses
Primary practice location
7121 S Padre Island Dr
Ste 200
Corpus Christi, TX 78412-4940
Mailing address
214 Solar Way
Denton, TX 76207-2204
Phone (940) 391-0235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120095808 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Texas Southwestern Medical School at Dallas, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2805 S Mayhill Rd
Denton, TX 76208-5910
Phone (940) 387-7588
Hospital & facility affiliations
- Medical City Denton
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 559826 | TX | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Bend Womens Center PLLC | Current | Accepting new patients | |
| Medical City OB-GYN, PLLC | Current | Accepting new patients | |
| Congenital Heart Surgery Center PLLC | Past | Accepting new patients |
Locations
515 W Mayfield Rd
Ste 200
Arlington, TX 76014
Phone (817) 375-5847
7121 Spid Dr
Ste 200
Corpus Christi, TX 78412
Phone (361) 993-6000
7777 Forest Ln
Ste D1110
Dallas, TX 75230
Phone (214) 824-3200
7777 Forest Ln
Ste C300J
Dallas, TX 75230
Phone (972) 566-2043
2805 S Mayhill Rd
Denton, TX 76208
Phone 9405916700258
Interoperability endpoints
- daniella.grantham@hca7.eclinicaldirectplus.com
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.
-
- Obstetrics & Gynecology Physician
- Dallas, TX
- NPI 1295275071
-
- Obstetrics & Gynecology Physician
- Corpus Christi, TX
- NPI 1891812483
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Dallas, TX
- NPI 1386700565
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Denton, TX
- NPI 1306897277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1801899349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 SOLAR WAY",
"city": "DENTON",
"state": "TX",
"postal_code": "762072204",
"telephone_number": "940-391-0235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7121 S PADRE ISLAND DR",
"address_2": "STE 200",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784124940",
"telephone_number": "361-993-6000",
"fax_number": "361-993-3676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANTHAM",
"first_name": "DANIELLA",
"middle_name": "DEONA",
"name_prefix": "Mrs.",
"credential": "WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-28",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "559826",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "AP108955",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120095808",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.